Active NPIIndividual providerSole proprietor

Jessica Dominguez, RD

Dietitian, Registered in Paramus, New Jersey

NPI Number1407445745
Practice location
1 Kalisa Way Ste 211, Paramus, NJ 07652-3538
Fax
201-652-6253
Last updated
January 29, 2025

Jessica Dominguez is a Dietitian, Registered based in Paramus, NJ. Jessica Dominguez practices in Paramus, NJ and has the professional credentials of RD. The NPI Number for Jessica Dominguez is 1407445745 and holds a License No. 86072795 (NJ). The current practice location address for Jessica Dominguez is 1 Kalisa Way Ste 211, Paramus, NJ 07652-3538 and can be reached out via phone at 800-736-3739 and via fax at 201-652-6253.

Provider Profile Details

NPI Number
1407445745
Provider Name
Jessica Dominguez
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1 Kalisa Way Ste 211, Paramus, NJ 07652-3538
Phone Number
800-736-3739
Fax Number
201-652-6253
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2021
Last Update Date
January 29, 2025
Certification Date
January 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Kalisa Way Ste 211
Paramus, NJ 07652-3538
Zip
07652-3538
Phone Number
800-736-3739
Fax Number
201-652-6253
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs RD Ste 220
Red Bank, NJ 07701-5792
City
Red Bank
State
NJ
Zip
07701-5792
Phone Number
732-807-0877

License Information

License Number
86072795
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Dominguez, RD?

The NPI number of Jessica Dominguez, RD is 1407445745. It was assigned on January 12, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica Dominguez, RD?

Jessica Dominguez, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86072795.

Where does Jessica Dominguez, RD practice?

The practice location is 1 Kalisa Way Ste 211, Paramus, NJ 07652-3538. The office can be reached at 800-736-3739 (phone) or 201-652-6253 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407445745 directly on the NPPES registry website.

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