Active NPIIndividual providerSole proprietor

Paul T Jaeckel, MS, RDN

Dietitian, Registered in West New York, New Jersey

NPI Number1609644673
Practice location
431 62ND St Unit 305, West New York, NJ 07093-2326
Fax
—
Last updated
July 22, 2024

Paul T Jaeckel is a Dietitian, Registered based in West New York, NJ. Paul T Jaeckel practices in West New York, NJ and has the professional credentials of MS, RDN. The NPI Number for Paul T Jaeckel is 1609644673 and holds a License No. 86299925 (NY). The current practice location address for Paul T Jaeckel is 431 62ND St Unit 305, West New York, NJ 07093-2326 and can be reached out via phone at 631-942-0473.

Provider Profile Details

NPI Number
1609644673
Provider Name
Paul T Jaeckel
Credential
MS, RDN
Provider Entity Type
Individual
Gender
Male
Address
431 62ND St Unit 305, West New York, NJ 07093-2326
Phone Number
631-942-0473
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2023
Last Update Date
July 22, 2024
Certification Date
July 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
431 62ND St Unit 305
West New York, NJ 07093-2326
Zip
07093-2326
Phone Number
631-942-0473
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
431 62ND St Unit 305
West New York, NJ 07093-2326
City
West New York
State
NJ
Zip
07093-2326
Phone Number
631-942-0473

License Information

License Number
86299925
License State
NY
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 Paul T Jaeckel, MS, RDN?

The NPI number of Paul T Jaeckel, MS, RDN is 1609644673. It was assigned on December 19, 2023 and is currently active in the NPPES registry.

What is the specialty of Paul T Jaeckel, MS, RDN?

Paul T Jaeckel, MS, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 86299925.

Where does Paul T Jaeckel, MS, RDN practice?

The practice location is 431 62ND St Unit 305, West New York, NJ 07093-2326. The office can be reached at 631-942-0473 (phone).

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 1609644673 directly on the NPPES registry website.

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