Individual provider Active NPI

Janelle K Gaj, R.D., L.D.N.

  • Registered Dietitian
  • Malvern, PA
National Provider Identifier
1144467648
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN003257 Issued in PA
Practice address
183 Lancaster Ave
Malvern, PA 19355-2122
Phone
(610) 240-9010
Fax
(610) 240-0950
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN003257 PA Primary

Addresses

Primary practice location

183 Lancaster Ave
Malvern, PA 19355-2122

Mailing address

183 Lancaster Ave
Malvern, PA 19355-2122
Phone (610) 240-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN003257PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Potential Wellness Ctr Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1144467648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552122",
            "telephone_number": "610-240-9010",
            "fax_number": "610-240-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552122",
            "telephone_number": "610-240-9010",
            "fax_number": "610-240-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJ",
        "first_name": "JANELLE",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN003257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.