Active NPI
Jennifer Verola
- Registered Dietitian
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010983
- Practice address
- 5 E 98TH St
New York, NY 10029-6501 - Phone
- (212) 241-3422
- NPI assigned
- Nov 4, 2020
- Last updated
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 010983 | NY | Primary |
Addresses
Primary practice location
5 E 98TH St
New York, NY 10029-6501
Mailing address
1 Gustave L Levy PL # 1118
New York, NY 10029-6504
Other practice location 1
10 Highland Ave
Great Neck, NY 11021-2723
Phone (516) 423-1227
Other practice location 2
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010983 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
dba Endocrinology Division of Mount Sinai
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
- NPI 1235490277
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba Medicine Department of Mount Sinai
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1760083984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 1118",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296501",
"telephone_number": "212-241-3422"
}
],
"practiceLocations": [
{
"address_1": "10 Highland Ave",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110212723",
"country_code": "US",
"telephone_number": "516-423-1227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-3422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEROLA",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.