NPIMap

Individual provider Active NPI

Jaclyn Josephine Padovano, RD, CDN

  • Registered Dietitian
  • Bedminster, NJ
National Provider Identifier
1487264719
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86051906 Issued in NJ
Practice address
385 Terrace LN
Bedminster, NJ 07921-1927
Phone
(201) 655-5697
NPI assigned
Aug 2, 2020
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Nutrition Education Nutritionist 133NN1002X
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X 86051906 NJ Primary

Addresses

Primary practice location

385 Terrace LN
Bedminster, NJ 07921-1927

Mailing address

385 Terrace LN
Bedminster, NJ 07921-1927
Phone (201) 655-5697

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

State licenses

LicenseStateTypeSpecialty
86051906NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jaclyn Rd Nutrition and Wellness Solutions Dietitian, Registered CurrentSince Apr 6, 2025 Accepting new patients
Ovadia Medical Consulting Group LLC Current Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1487264719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 TERRACE LN",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211927",
            "telephone_number": "201-655-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TERRACE LN",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211927",
            "telephone_number": "201-655-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOVANO",
        "first_name": "JACLYN",
        "middle_name": "JOSEPHINE",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86051906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.