Paul T. Jaeckel, MS, RDN
NPI 1609644673ActiveIndividual· Dietitian, Registered· West New York, NJ
Dietitian, Registered (MS, RDN) in West New York, New Jersey, licensed in NY, with an NPI issued in December 2023.
Overview
| NPI | 1609644673 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RDN |
| Sole proprietor | Yes |
| NPI issued | Dec 19, 2023 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86299925 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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