Jennifer Brooke Scully, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

55 Palmer Ave
Sodexo- Dept of Food and Nutrition
Bronxville, NY 10708-3403

Phone

(914) 787-5089

Fax

(914) 787-5093

NPI assigned

Dec 15, 2008

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1750526026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 CENTER BLVD",
            "address_2": "APT 1513",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095632",
            "telephone_number": "212-729-8266",
            "fax_number": "914-787-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER AVE",
            "address_2": "SODEXO- DEPT OF FOOD AND NUTRITION",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403",
            "telephone_number": "914-787-5089",
            "fax_number": "914-787-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert L Schindler, DDS
• David Mark Schulman, LCSW
• Martin Schulman
• Andrea Weill Schwartz
• Cordelia Sandra Schwarz, MD
• Jennifer Lin Seager, LMSW
• Nicholas Seara, MD
• Sonia Sebastian, NURSE PRACTITIONER
• Mercy Grace Sendras
• Carolyn M Sepulveda, LMHC, LPC, NCC

• Registered Dietitian in Bronxville, NY
• Providers in Bronxville, 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 Dec 15, 2008; 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.