Jenna Peters, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

15 Dora LN
Holmdel, NJ 07733-1624

Phone

(732) 778-9744

NPI assigned

Nov 23, 2021

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

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1801553987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DORA LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331624",
            "telephone_number": "732-778-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DORA LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331624",
            "telephone_number": "732-778-9744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Holmdel Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hazlet",
            "state": "NJ",
            "postal_code": "077301467",
            "country_code": "US",
            "telephone_number": "732-696-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JENNA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "..",
            "affiliation": "Y",
            "affiliationName": "Vijay Saaraswat Medical LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "648 Holmdel Rd Ste 300",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "..",
            "affiliation": "Y",
            "affiliationName": "Vijay Saaraswat Medical LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "648 Holmdel Rd Ste 300",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "Y",
            "affiliationName": "Vijay Saaraswat Medical LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "648 Holmdel Rd Ste 300",
            "city": "Hazlet",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077301467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Penesetti Prasad MD Et Al
• Robert P Penney, M.D.,F.A.C.O.G.
• Jessie Perito
• Beth Perosi
• Jessica Michele Perrella, MSW M.ED LCSW
• Alexandra Petrou, PA
• Philip N Rabin DDS PA
• Physical Therapy Doctor NJ, PC
• Physically Speaking Therapy Center
• Physicians of Monmouth LLC

• Registered Dietitian in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.