Jay Patruno, RDN, LDN, CPT, CNC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND12408 Issued in FL

Practice address

777 Glades Rd # Sw8W240
Boca Raton, FL 33431-6496

Phone

(561) 297-3512

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

• Florida Atlantic University

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
  • NPI 1164591954
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1811501695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N CONGRESS AVE APT 325",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011731",
            "telephone_number": "413-388-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD # SW8W240",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "561-297-3512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N Congress Ave Apt 325",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334011731",
            "country_code": "US",
            "telephone_number": "413-388-3563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRUNO",
        "first_name": "JAY",
        "credential": "RDN, LDN, CPT, CNC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN4915",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "13288465-4901",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Provider Network LLC
• Patients Partner
• Raphael Patino, ATC
• Patricia Fitzmaurice LCSW PA
• Patriot Med Supplies LLC
• Kim A Patton, LCSW
• Paul B Wizman MD PA
• Paul Modesto, PH.D.,P.a.
• Paul Werner D.D.S., P.a.
• Melanie Paul-Hackett, APRN

• Registered Dietitian in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.