Active NPI
Jennifer Anne Depaolo, R.D., C.D.E.
- Registered Dietitian
- New York, NY
National Provider Identifier
1265480610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005504-1
- Practice address
- 119 W 57TH St
Suite 1414
New York, NY 10019-2303 - Phone
- (212) 333-4243
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005504-1 | NY | Primary |
Addresses
Primary practice location
119 W 57TH St
Suite 1414
New York, NY 10019-2303
Mailing address
145 Hicks St
Brooklyn, NY 11201-2321
Phone (917) 447-6135
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7791422 | Other | NY | AETNA |
| 8099852 | Other | NY | GHI |
| 1G1071 | Other | NY | BLUECROSS |
| 3C6153 | Other | NY | HEALTHNET |
| 7762747003 | Other | NY | CIGNA |
| DJ5504 | Other | NY | ATLANTIS |
| 3096578 | Other | NY | USHC |
| 005504 | Other | NY | HIP PROV # |
| 10765267 | Other | NY | HIP PIN# |
| 2281535 | Other | NY | UNITED |
| P2793985 | Other | NY | OXFORD |
| 116230P | Other | NY | HIP PRIS# |
Other names 1
- Jennifer Anne Gramata
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005504-1 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Lawrence Howard | Dietitian, Registered | 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": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265480610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HICKS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012321",
"telephone_number": "917-447-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH ST",
"address_2": "SUITE 1414",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192303",
"telephone_number": "212-333-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAOLO",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005504-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7791422",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8099852",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "1G1071",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C6153",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7762747003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "DJ5504",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC",
"identifier": "3096578",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PROV #",
"identifier": "005504",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PIN#",
"identifier": "10765267",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "2281535",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2793985",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PRIS#",
"identifier": "116230P",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GRAMATA",
"middle_name": "ANNE",
"credential": "R.D., C.D.E.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.