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Deactivated NPI 1083168231 Deactivated / Inactive NPI Female Practitioner

Jeannine Kaiser , MS, RD, CDCES

Dietitian, Registered • Patchogue, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeannine Kaiser has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2016
NPI Deactivation Date September 16, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Jeannine Kaiser, MS, RD, CDCES was a registered Dietitian, Registered practicing in Patchogue, NY. Throughout an active medical career spanning 4 years, Jeannine Kaiser provided care at the practice location at 40 W 4TH ST APT 22 until profile deactivation on 2020-09-16.

Practice Location & Contact Primary Location

Practice Address

40 W 4th St Apt 22

Patchogue, NY 117722124

Telephone 9177045182

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Patchogue, NY (4786 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-11
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NY 1049577

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location December 11, 2024

Registered at 40 W 4TH ST APT 22, PATCHOGUE, NY 117722124 (Tel: 9177045182)

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Provider Name / Credentials Updated December 11, 2024

Recorded as JEANNINE KAISER, MS, RD, CDCES

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Updated Practice Location November 15, 2024

Registered at 266 CLARK BLVD, MASSAPEQUA PARK, NY 117622853 (Tel: 9177045182)

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Updated Business Mailing Address November 15, 2024

Registered at 40 WEST 4TH ST APT 22, PATCHOGUE, NY 11772 (Tel: 9177045182)

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Provider Name / Credentials Updated November 15, 2024

Recorded as JEANNINE KAISER, MS, RD, CDN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2024

Dietitian, Registered (License #1049577 in NY)

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NPI Profile Deactivated September 16, 2020

Record deactivated on September 16, 2020

NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 04, 2016

Registered at 266 CLARK BLVD, MASSAPEQUA PARK, NY 117622853 (Tel: 9177045182)

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Updated Business Mailing Address August 04, 2016

Registered at 266 CLARK BLVD, MASSAPEQUA PARK, NY 117622853 (Tel: 9177045182)

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Provider Name / Credentials Updated August 04, 2016

Recorded as JEANNINE BAYER, MS, RD, CDN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Dietitian, Registered (License #1049577 in NY)

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Initial NPI Registration & Enumeration August 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083168231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2016
Last Update: December 11, 2024
Deactivation Date: September 16, 2020
Sole Proprietor: Yes

Mailing Address

40 West 4th St Apt 22

Patchogue, NY 11772

Phone: 9177045182

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.