Mr Jason E Gromoll, RD, CDN is a
Dietitian, Registered based in Rotterdam, New York. Mr Jason E Gromoll is licensed to practice in New York (license number 007243) and his current practice location is
206 Springdale Way, Rotterdam, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 250-3898.
NPI number for Mr Jason E Gromoll is 1639452162 and his current mailing address is 206 Springdale Way, Rotterdam, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639452162.
Healthcare Provider's Profile
| Full Name | Mr Jason E Gromoll |
|---|
| Gender | Male |
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| Speciality | Dietitian, Registered |
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| Location | 206 Springdale Way, Rotterdam, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639452162
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 09/21/2011
Medical Identifiers
Medical identifiers for Mr Jason E Gromoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639452162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 007243 (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. Mr Jason E Gromoll 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 |
|---|
Mr Jason E Gromoll, RD, CDN
206 Springdale Way,
Rotterdam, NY 12306-5606
Ph: (518) 250-3898 | Mr Jason E Gromoll, RD, CDN
206 Springdale Way,
Rotterdam, NY 12306-5606
Ph: (518) 250-3898 |
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