Jaclyn Danielle Leet, RDN is a
Dietitian, Registered based in Bloomingdale, New Jersey. Jaclyn Danielle Leet is licensed to practice in New Jersey (license number 86083824) and her current practice location is
42 Chestnut St, Bloomingdale, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 919-7330.
NPI number for Jaclyn Danielle Leet is 1013462993 and her current mailing address is 5 Brotherton Ave, Rockaway, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013462993.
Healthcare Provider's Profile
| Full Name | Jaclyn Danielle Leet |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 42 Chestnut St, Bloomingdale, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013462993
- Provider Enumeration Date: 08/19/2016
- Last Update Date: 10/18/2022
Medical Identifiers
Medical identifiers for Jaclyn Danielle Leet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013462993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86083824 (New Jersey) | 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. Jaclyn Danielle Leet 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 |
Jaclyn Danielle Leet, RDN 5 Brotherton Ave, Rockaway, NJ 07866-4801 Ph: (973) 919-7330 | Jaclyn Danielle Leet, RDN 42 Chestnut St, Bloomingdale, NJ 07403-1729 Ph: (973) 919-7330 |
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