In Kio Mac, RD, CDN
NPI 1720661622ActiveIndividual· Dietitian, Registered· New York, NY
Dietitian, Registered (RD, CDN) with Jgb Rehabilitation Corporation, practicing in New York, New York. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1720661622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CDN |
| Sole proprietor | No |
| NPI issued | Apr 29, 2021 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 009350-01 | NY |
| Dietitian, Registered | 133V00000X | 1068495 | 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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NY) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Jgb Rehabilitation CorporationNew York, NY · 13 clinicians
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