Jennifer Ann Clemente, MS, CNS, CDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

011003 Issued in NY

Practice address

168 Ponquogue Ave
Hampton Bays, NY 11946-3071

Phone

(646) 564-3818

Fax

(646) 461-4447

NPI assigned

Dec 28, 2018

Last updated

May 26, 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 2

Addresses

Electronic endpoints 1

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

State licenses

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1407328651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CLINTON AVE APT 11A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381160",
            "telephone_number": "917-602-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 PONQUOGUE AVE",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463071",
            "telephone_number": "646-564-3818",
            "fax_number": "646-461-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MS, CNS, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "011003",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "CNS17054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bodyblissnutrition.practicebetter.io/#/5ad9fda367c6b919dc37146d/bookings?step=services",
            "affiliation": "N",
            "endpointDescription": "booking",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "90 Broad St Ste 215",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100042205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Cavaliere, LCSW
• Wayne J Cavaliere
• Michelle Lee Cettina, MSW
• Christine Coolidge RN CS PHD PC
• April Marie Cintron, LPN
• Marlene S Clifford
• Briana Nicole Cohen, MD
• James Constantine
• Christine Coolidge, PHD
• Lisa Cordaro, P.N.P.

• Nutritionist in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.