Jenna Brown, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86074832 Issued in NY

Practice address

358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326

Phone

(516) 441-9013

Fax

(833) 734-1553

NPI assigned

Apr 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Gallo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1801538954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALTER CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253602",
            "telephone_number": "215-776-0389",
            "fax_number": "833-734-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "516-441-9013",
            "fax_number": "833-734-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Broadhollow Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474901",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Oyster Bay Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013500",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86074832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "GALLO",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Briordy, MS,CCC-SLP
• Paul Britt
• Jonathan Thomas Brockmann
• Lauren G. Brodsky, LCSW
• Ronda Karen Brooks, R-LCSW
• Kathleen Brown, RN
• Nicole Brown
• Rosalina Brown
• James P. Browne, PSYD.
• Emily Bruestle, NP

• Registered Dietitian in Commack, NY
• Providers in Commack, 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 Apr 10, 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.