Jaclyn Querido, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3 Carlisle Rd
Miller Place, NY 11764-1907

Phone

(631) 495-2159

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Zaghi Medical Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1346942133

  Dietitian, Registered

  Medicare reassignment NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1336881598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CARLISLE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641907",
            "telephone_number": "631-495-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARLISLE RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641907",
            "telephone_number": "631-495-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERIDO",
        "first_name": "JACLYN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Todd Posner, M.D.
• Nicole Pranzo
• Primary Care Family Doctor P.C. (Primary Care Family Doctors)
• Pro Care Imaging, Inc.
• Yama Qaderi, P.A
• Dorothy A Quilty, L.C.S.W
• Daniel R. Raio, RPA-C
• Toni Ellen Raiten-D'Antonio, LCSW
• Wahid Rashidzada, M.D.
• Pamela Jane Rathburn, NP

• Registered Dietitian in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.