Jaclyn Rosen, MS, CNS, CDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

012896 Issued in NY

Practice address

60 Fire Island Ave Ste 102
Babylon, NY 11702-3502

Phone

(516) 817-9581

NPI assigned

Oct 23, 2024

Last updated

Sep 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

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.

• Well Within Nutrition

  • Nutritionist
  • Babylon, NY
  • NPI 1346112125
  NPD Authorized official

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1306667126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HONEYSUCKLE RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562237",
            "telephone_number": "516-817-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIRE ISLAND AVE STE 102",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023502",
            "telephone_number": "516-817-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JACLYN",
        "credential": "MS, CNS, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "012896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie C Roche
• Allyson Lorraine Rodriguez, LPN
• Seth Elliot Roman, LMSW
• Jennifer Jean Romano, M.S., CCC-SLP
• Marion B Rose, M.D.
• Jenna Elise Rosenberg
• Jacob Rotter, MD
• Theresa Maria Rua, O.D.
• Alexandra M Rulli, LCSW
• Courtney Runkel

• Nutritionist in Babylon, NY
• Providers in Babylon, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; 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.