Individual provider Active NPI

Jacqueline Topol, MS, RD, CDN

  • Registered Dietitian
  • Rockaway, NJ
National Provider Identifier
1922444702
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
48007686 Issued in NY
Practice address
99 W Lake Shore Dr
Rockaway, NJ 07866-1023
Phone
(917) 584-0708
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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 48007686 NY Primary

Addresses

Primary practice location

99 W Lake Shore Dr
Rockaway, NJ 07866-1023

Mailing address

99 W Lake Shore Dr
Rockaway, NJ 07866-1023
Phone (917) 584-0708

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

LicenseStateTypeSpecialty
007686NYMDMental Health Counselor
48007686NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1922444702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W LAKE SHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661023",
            "telephone_number": "917-584-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W LAKE SHORE DR",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661023",
            "telephone_number": "917-584-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPOL",
        "first_name": "JACQUELINE",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "48007686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.