Jaclyn Prusakowski, RD
Dietitian, Registered in Iselin, New Jersey
1760714000- Practice location
- 530 Green St, Iselin, NJ 08830-2654
- Phone
- 732-283-1900
- Fax
- 908-903-1672
- Last updated
- February 11, 2010
Jaclyn Prusakowski is a Dietitian, Registered based in Iselin, NJ. Jaclyn Prusakowski practices in Iselin, NJ and has the professional credentials of RD. The NPI Number for Jaclyn Prusakowski is 1760714000 and holds a License No. 1015597 (NJ). The current practice location address for Jaclyn Prusakowski is 530 Green St, Iselin, NJ 08830-2654 and can be reached out via phone at 732-283-1900 and via fax at 908-903-1672.
Provider Profile Details
- NPI Number
- 1760714000
- Provider Name
- Jaclyn Prusakowski
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 530 Green St, Iselin, NJ 08830-2654
- Phone Number
- 732-283-1900
- Fax Number
- 908-903-1672
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 11, 2010
- Last Update Date
- February 11, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 530 Green St
Iselin, NJ 08830-2654 - City
- Iselin
- State
- New Jersey
- Zip
- 08830-2654
- Phone Number
- 732-283-1900
- Fax Number
- 908-903-1672
Provider Business Mailing Address Details
- Address
- 20 Thistle Ln
Warren, NJ 07059-5564 - City
- Warren
- State
- NJ
- Zip
- 07059-5564
- Phone Number
- 908-903-1670
- Fax Number
- 908-903-1672
License Information
- License Number
- 1015597
- License State
- NJ
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Iselin, NJ
View all Dietitian, Registered providers in Iselin →- Alison Brown, RDDietitian, Registered · NPI 1700037033
- Anisa Gandhi, RDDietitian, Registered · NPI 1104983196
- Ann Espinoza, RDDietitian, Registered · NPI 1497966618
- Augustus Mosca, RDDietitian, Registered · NPI 1932267242
- Beatitud Wellness LLCDietitian, Registered · NPI 1740918994
- Breana Penzenik, RDNDietitian, Registered · NPI 1538864434
Frequently Asked Questions
What is the NPI number of Jaclyn Prusakowski, RD?
The NPI number of Jaclyn Prusakowski, RD is 1760714000. It was assigned on February 11, 2010 and is currently active in the NPPES registry.
What is the specialty of Jaclyn Prusakowski, RD?
Jaclyn Prusakowski, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 1015597.
Where does Jaclyn Prusakowski, RD practice?
The practice location is 530 Green St, Iselin, NJ 08830-2654. The office can be reached at 732-283-1900 (phone) or 908-903-1672 (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 1760714000 directly on the NPPES registry website.