Jay Wolkoff, CDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1548 Issued in CT

Practice address

93 Wedgewood Dr
Waterbury, CT 06705-3611

Phone

(203) 231-9580

NPI assigned

Sep 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669991204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-231-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEDGEWOOD DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053611",
            "telephone_number": "203-231-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOFF",
        "first_name": "JAY",
        "credential": "CDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CT",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernd Woerner, MD
• Wolcott Street Dental-2, PC
• Matthew Wolenski, MD
• Alan Wolkoff, D.M.D.
• Elaine Schulman Wolkoff, M.S.
• Woman'S Choice Perinatal Services
• Women and Childrens Program
• Deidre - Ann Wong
• Craig Wood
• Detwanette Woodert, LMT

• Nutritionist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Nutritionist in Connecticut

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