Individual provider Active NPI

Jill Chodak, MS, RD, CDN

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1841752987
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
46 Prince St Ste 3001
Rochester, NY 14607-1041
Phone
(631) 375-1592
NPI assigned
Apr 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

46 Prince St Ste 3001
Rochester, NY 14607-1041

Mailing address

46 Prince St Ste 3001
Rochester, NY 14607-1041
Phone (631) 375-1592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529002799 NY Practitioner - Registered Dietitian Or Nutrition Professional 3678816998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Group CurrentSince Apr 20, 2019 Accepting new patients
Internal Medicine Group CurrentSince Apr 20, 2019 Accepting new patients

Locations

46 Prince St
Rochester, NY 14607
Phone (585) 313-7748

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

46 Prince St
Ste 3001
Rochester, NY 14607
Phone (585) 530-2050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1841752987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 3001",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071041",
            "telephone_number": "631-375-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 3001",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071041",
            "telephone_number": "631-375-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODAK",
        "first_name": "JILL",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.

Verify at the official NPI Registry.