Active NPIIndividual providerSole proprietor

Mrs. Dana A Jacko, RD

Dietitian, Registered in Kinnelon, New Jersey

NPI Number1760510200
Practice location
9 Brookvale RD, Kinnelon, NJ 07405-2275
Fax
—
Last updated
July 8, 2007

Dana Ann Jacko is a Dietitian, Registered based in Kinnelon, NJ. Dana Ann Jacko practices in Kinnelon, NJ and has the professional credentials of RD. The NPI Number for Dana Ann Jacko is 1760510200 and holds a License No. 803411 (NJ). The current practice location address for Dana Ann Jacko is 9 Brookvale RD, Kinnelon, NJ 07405-2275 and can be reached out via phone at 973-838-8128.

Provider Profile Details

NPI Number
1760510200
Provider Name
Dana Ann Jacko
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
9 Brookvale RD, Kinnelon, NJ 07405-2275
Phone Number
973-838-8128
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Brookvale RD
Kinnelon, NJ 07405-2275
Zip
07405-2275
Phone Number
973-838-8128
Kinnelon, NJ 07405Get directions →

Provider Business Mailing Address Details

Address
9 Brookvale RD
Kinnelon, NJ 07405-2275
City
Kinnelon
State
NJ
Zip
07405-2275
Phone Number
973-838-8128

License Information

License Number
803411
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 Mrs. Dana A Jacko, RD?

The NPI number of Mrs. Dana A Jacko, RD is 1760510200. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Dana A Jacko, RD?

Mrs. Dana A Jacko, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 803411.

Where does Mrs. Dana A Jacko, RD practice?

The practice location is 9 Brookvale RD, Kinnelon, NJ 07405-2275. The office can be reached at 973-838-8128 (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 1760510200 directly on the NPPES registry website.

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