1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Dietitian Registered
  6. NPI Profile

JENNA ANN KOROLY MS, RD, CSOWM, CDN
NPI 1568959633
Dietitian, Registered in New York, NY

Active since April 15, 2018
186 E 76TH ST, NEW YORK, NY 10021(212) 434-3285 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2022, Jul 7, 2020, Dec 9, 2019 and 2 more (5 updates tracked since 2018).

About Jenna Ann Koroly Ms, Rd, Csowm, Cdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA ANN KOROLY MS, RD, CSOWM, CDN (NPI 1568959633) is an individual dietitian, registered in New York, New York, licensed in New York (86073589) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1568959633
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNA ANN KOROLYCredential: MS, RD, CSOWM, CDN
Location Address186 E 76TH STNew York, NY 10021-2822
Mailing Address214 50th Ave Apt 510wLong Island City, NY 11101-5935 · (914) 274-0843
Phone(212) 434-3285
Sole ProprietorYes
Enumeration DateApril 15, 2018
Last NPPES UpdateOctober 7, 20225 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1568959633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in NY · 86073589✔ Licensed in MA · 4857
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
186 E 76TH ST, New York, NY 10021
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Ann Koroly Ms, Rd, Csowm, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Jenna Koroly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marcus Avenue Medical PC
2.3 mi
Internal Medicine
232 E 30TH ST
New York, NY 10016
  • Reassigned Medicare billing, New York enrollment
  • 63 clinicians in this Medicare group
NPI 1255982542 (212) 447-1609
North Shore - Lij Medical PC
13 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Brigham & Womens Physicians Organization Inc
183 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GADY HAR-EL MD,FACS
Specialist
186 E 76TH ST, SECOND FLOOR
NEW YORK, NY 10021
New York County (212) 434-2323
DR. PARSWA ANSARI M.D.
Surgery
186 E 76TH ST, FIRST FLOOR
NEW YORK, NY 10021
New York County (212) 434-3285
DR. ROBERT ANTHONY ANDREWS M.D.
Surgery
186 E 76TH ST, GROUND FLOOR
NEW YORK, NY 10021
New York County (212) 434-3285
DR. JESSICA W. LIM M.D.
Otolaryngology
186 E 76TH ST, SECOND FLOOR
NEW YORK, NY 10021
New York County (212) 434-2323
DR. JAY A MOTOLA MD
Urology
186 E 76TH ST
NEW YORK, NY 10021
New York County (212) 485-0444
SEBASTIAN LIGHVANI MD
Specialist
186 E 76TH ST, 2ND FLOOR
NEW YORK, NY 10021
New York County (212) 517-3300
DR. DMITRI ALDEN M.D.
Surgery (Surgical Oncology)
186 E 76TH ST
NEW YORK, NY 10021
New York County (212) 434-6216
TAYLOR NICOLE VENTURINO
Physician Assistant
186 E 76TH ST
NEW YORK, NY 10021
New York County (212) 434-3285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Koroly's NPI number?

The NPI number for Jenna Koroly is 1568959633. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Jenna Koroly located?

Jenna Koroly practices at 186 E 76th St, New York, NY 10021. The listed phone number is (212) 434-3285.

What is Jenna Koroly's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jenna Koroly enrolled in Medicare?

Yes. Jenna Koroly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Koroly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Koroly reassigns Medicare benefits to 3 organizations: Marcus Avenue Medical PC (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and Brigham & Womens Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Koroly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Koroly was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.