Individual provider Active NPI

Jacqueline Piemonte, MS, RD

  • Registered Dietitian
  • Wyckoff, NJ
National Provider Identifier
1306185426
Registry record updated Mar 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1052546 Issued in NJ
Practice address
465 W Main St
Wyckoff, NJ 07481-1453
Phone
(201) 650-5519
NPI assigned
Feb 8, 2013
Last updated
Mar 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2013

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 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

LicenseStateTypeSpecialty
1052546NJMDRegistered 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.

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

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.

Verify at the official NPI Registry.