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MRS. JACQUELINE E MARTIN MS RD CDN NPI 1114208089


NPI Information

NPI: 1114208089
Provider Name: MRS. JACQUELINE E MARTIN, MS, RD, CDN
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Individual

Specialization: Nutrition, Pediatric

Address:
13 AVENUE LOUISE
MASSAPEQUA PARK, NY
ZIP 11762
Phone: (516) 236-3984
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MRS. Jacqueline E Martin, MS, RD, CDN is a nutrition and pediatric dietitian registered in Massapequa Park, NY. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. MRS. Jacqueline E Martin, MS, RD, CDN NPI is 1114208089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13 AVENUE LOUISE
MASSAPEQUA PARK, NY
ZIP 11762-207
Phone: (516) 236-3984

The enumeration date for this NPI number is 9/6/2011 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1004XDietitian, RegisteredNutrition, Pediatric006357NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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