Active NPI
Jacqueline Piemonte, MS, RD
- Registered Dietitian
- Wyckoff, NJ
National Provider Identifier
1306185426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1052546
- Practice address
- 465 W Main St
Wyckoff, NJ 07481-1453 - Phone
- (201) 650-5519
- NPI assigned
- Feb 8, 2013
- Last updated
- Mar 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1052546 | NJ | Primary |
Addresses
Primary practice location
465 W Main St
Wyckoff, NJ 07481-1453
Mailing address
426 Caldwell Dr
Wyckoff, NJ 07481-2528
Phone (201) 650-5519
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052546 | NJ | MD | Registered Dietitian |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Dietitian
- Wyckoff, NJ
- NPI 1235471236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364688000000",
"number": "1306185426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 CALDWELL DR",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074812528",
"telephone_number": "201-650-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 W MAIN ST",
"city": "WYCKOFF",
"state": "NJ",
"postal_code": "074811453",
"telephone_number": "201-650-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEMONTE",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2013-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1052546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyckoff, NJ
- Rosemarie Petrella, OTR/L
- Phillips Dental Sleep Solutions LLC
- Phillips Dentistry
- Andrew Werner Phillips, DMD
- Glenn Norman Phillips, DMD
- Claudia Pinto, COTA
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
- John Pullman, D.D.S.
- Juliana Quatrone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.