Active NPI
Julia Jaskiewicz, RD
- Registered Dietitian
- Montclair, NJ
National Provider Identifier
1447268206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 723799
- Practice address
- 8 Mountainside Park Ter
Montclair, NJ 07043-1209 - Phone
- (973) 509-8879
- Fax
- (973) 655-0622
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- 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 | 723799 | NJ | Primary |
Addresses
Primary practice location
8 Mountainside Park Ter
Montclair, NJ 07043-1209
Mailing address
8 Mountainside Park Ter
Montclair, NJ 07043-1209
Phone (973) 509-8879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050726000141 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 5890722458 | Practice locations: Montclair, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Mountainside Park Ter
Montclair, NJ 07043-1209
Phone (973) 568-1999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 723799 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447268206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MOUNTAINSIDE PARK TER",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431209",
"telephone_number": "973-509-8879",
"fax_number": "973-655-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MOUNTAINSIDE PARK TER",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070431209",
"telephone_number": "973-509-8879",
"fax_number": "973-655-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKIEWICZ",
"first_name": "JULIA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "723799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.