Jenna Ann Koroly, MS, RD, CSOWM, CDN - Medicare Dietitian in New York, NY

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Jenna Ann Koroly, MS, RD, CSOWM, CDN is a medicare enrolled "Dietitian, Registered" provider in New York, New York. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is 186 E 76th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 434-3285.

Jenna Ann Koroly is licensed to practice in New York (license number 86073589) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568959633.

Contact Information

Jenna Ann Koroly, MS, RD, CSOWM, CDN
186 E 76th St,
New York, NY 10021-2822
(212) 434-3285
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJenna Ann Koroly
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience7 Years
Location186 E 76th St, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenna Ann Koroly graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1568959633
  • Provider Enumeration Date: 04/15/2018
  • Last Update Date: 10/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7911247325
  • Enrollment ID: I20190321002472

Medical Identifiers

Medical identifiers for Jenna Ann Koroly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568959633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 4857 (Massachusetts)Secondary
133V00000XDietitian, Registered 86073589 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jenna Ann Koroly allows following entities to bill medicare on her behalf.
Provider NameNorth Shore - Lij Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Provider NameMarcus Avenue Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1255982542
PECOS PAC ID: 5698107258
Enrollment ID: O20191120000616

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 Ann Koroly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenna Ann Koroly, MS, RD, CSOWM, CDN
214 50th Ave Apt 510w,
Long Island City, NY 11101-5935

Ph: (914) 274-0843		Jenna Ann Koroly, MS, RD, CSOWM, CDN
186 E 76th St,
New York, NY 10021-2822

Ph: (212) 434-3285

Reviews and Comments


Dietitian, Registered in New York, NY

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Erika Jacobson, RD,CDN
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Phone: 917-241-5633    
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Ms. Ellen Schranz, MS, MBA, RD, CDN
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Phone: 212-241-4228    
Michelle Mock, RD
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Phone: 212-746-3520    Fax: 212-746-8577
Limor Baum, M.S., R.D
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Phone: 212-874-9467    
Mrs. Shara Wagowski,
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Phone: 212-759-6999    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.