JACLYN PHILBIN (NPI# 1699398149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699398149 |
| Entity Type | Individual |
| Full Name | JACLYN PHILBIN |
| Credential | RDN |
| Practice Address |
11 Middlebury Boulevard Suite 9/10 Randolph NJ 07869 |
| Practice Telephone | 9736688410 |
| Mailing Telephone | 9736688410 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
11 MIDDLEBURY BOULEVARD SUITE 9/10 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873492 | Amanda Ciprich | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869-0786 | 2020-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| 1013377506 | Brightview Randolph, LLC | Alzheimer Center (Dementia Center) | 175 Quaker Church Road, Randolph, NJ 07869 | 2016-02-26 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871619 | Nutrition for Longevity | Dietitian, Registered | 11 Middlebury Blvd Ste 910, Randolph, NJ 07869-1119 | 2020-08-12 |
| 1407484108 | Pamela Moriarty | Dietitian, Registered | 5 Martindale Rd, Randolph, MA 02368-1727 | 2020-03-29 |
| 1609426774 | Patricia Bertron | Dietitian, Registered | 121 Center Grove Rd Ste 13, Randolph, NJ 07869-4453 | 2019-09-19 |
| 1578998514 | Andreana Di Bernardo | Dietitian, Registered | 4 Righter Rd, Randolph, NJ 07869-1706 | 2013-09-10 |
| 1184973455 | Richard Lozano | Dietitian, Registered | 765 Route 10 E Ste 106, Randolph, NJ 07869-1925 | 2012-09-02 |
| 1659400489 | Lori Rita Lee | Dietitian, Registered | 1247 Sussex Tpke, Suite 230, Randolph, NJ 07869-2943 | 2007-03-05 |
| 1447261979 | Lauren Kolesa | Dietitian, Registered | 6 Iron Forge Ln, Randolph, NJ 07869-4547 | 2006-08-10 |
| 1447873492 | Amanda Ciprich | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869-0786 | 2020-05-26 |
| 1568003689 | Jill S Daingerfield | Dietitian, Registered | 121 Center Grove Road, Suite #13, Randolph, NJ 07869 | 2019-09-30 |
| 1205077971 | Kasey E Chmura | Dietitian, Registered | 44 S Main St, Randolph, VT 05060-1381 | 2009-03-10 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.