Jenna Decarlo, is a
Dietitian, Registered based in Locust Valley, New York. Jenna Decarlo is licensed to practice in New York (license number 86290638) and her current practice location is
300 Forest Ave Apt 301, Locust Valley, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 669-6653.
NPI number for Jenna Decarlo is 1588476527 and her current mailing address is 300 Forest Ave Apt 301, Locust Valley, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588476527.
Healthcare Provider's Profile
| Full Name | Jenna Decarlo |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 300 Forest Ave Apt 301, Locust Valley, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588476527
- Provider Enumeration Date: 01/27/2025
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Jenna Decarlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588476527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86290638 (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. Jenna Decarlo 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 |
|---|
Jenna Decarlo,
300 Forest Ave Apt 301,
Locust Valley, NY 11560-2148
Ph: (516) 669-6653 | Jenna Decarlo,
300 Forest Ave Apt 301,
Locust Valley, NY 11560-2148
Ph: (516) 669-6653 |
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