Jade Agresta, MS, RD, CNSC is a
Student In An Organized Health Care Education/training Program based in Larchmont, New York. Jade Agresta is licensed to practice in * (Not Available) (license number ) and her current practice location is
4 Gilder St Ste 2, Larchmont, New York. She can be reached at her office (for appointments etc.) via phone at
(838) 910-8150.
NPI number for Jade Agresta is 1366033896 and her current mailing address is 4 Gilder St Ste 2, Larchmont, 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 | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4 Gilder St Ste 2, Larchmont, 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: 09/05/2024
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 |
|---|
| 133V00000X | Dietitian, Registered | 007468 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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, MS, RD, CNSC
4 Gilder St Ste 2,
Larchmont, NY 10538-2748
Ph: (838) 910-8150 | Jade Agresta, MS, RD, CNSC
4 Gilder St Ste 2,
Larchmont, NY 10538-2748
Ph: (838) 910-8150 |
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