Jade Agresta, is a
Dietitian, Registered based in Albany, New York. Jade Agresta is licensed to practice in New York (license number 007468) and her current practice location is
113 Holland Ave, Albany, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 626-6882.
NPI number for Jade Agresta is 1366033896 and her current mailing address is 113 Holland Ave, Albany, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366033896.
Healthcare Provider's Profile
| Full Name | Jade Agresta |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 113 Holland Ave, Albany, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366033896
- Provider Enumeration Date: 01/28/2021
- Last Update Date: 11/27/2025
Medical Identifiers
Medical identifiers for Jade Agresta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366033896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 13907 (New York) | Secondary |
| 133V00000X | Dietitian, Registered | 007468 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jade Agresta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jade Agresta, 113 Holland Ave, Albany, NY 12208-3410 Ph: Not Available | Jade Agresta, 113 Holland Ave, Albany, NY 12208-3410 Ph: (518) 626-6882 |
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