Individual provider Active NPI

Jayne Elizabeth Pinsky, RD

  • Sports Dietetics Nutrition Registered Dietitian
  • Berkeley, CA
National Provider Identifier
1235870874
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
License
86177102 Issued in NJ
Practice address
Simpson Center (Sahpc) 2227 Piedmont Ave
Berkeley, CA 94720-0001
Phone
(856) 745-1004
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered Dietitian 133VN1501X 86177102 NJ Primary

Addresses

Primary practice location

Simpson Center (Sahpc) 2227 Piedmont Ave
Berkeley, CA 94720-0001

Mailing address

412 2ND Ave
Haddon Heights, NJ 08035-1410
Phone (856) 745-1004

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86177102NJMDSports Dietetics Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1235870874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 2ND AVE",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351410",
            "telephone_number": "856-745-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIMPSON CENTER (SAHPC) 2227 PIEDMONT AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947200001",
            "telephone_number": "856-745-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "JAYNE",
        "middle_name": "ELIZABETH",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NJ",
            "license": "86177102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.