Active NPI
Jordan Kowalczewski, MS, RD
- Registered Dietitian
- Jersey City, NJ
National Provider Identifier
1760946941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86060122
- Practice address
- 116 Newark Ave Ste 2
Jersey City, NJ 07302-2960 - Phone
- (201) 984-1270
- NPI assigned
- Jan 22, 2019
- 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 | 86060122 | IL | Primary |
Addresses
Primary practice location
116 Newark Ave Ste 2
Jersey City, NJ 07302-2960
Mailing address
23 University Place Blvd Apt 326
Jersey City, NJ 07305-3192
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86060122 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1760946941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 UNIVERSITY PLACE BLVD APT 326",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073053192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NEWARK AVE STE 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022960",
"telephone_number": "201-984-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALCZEWSKI",
"first_name": "JORDAN",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "86060122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.