JOELLE B PORUSH
NPI 1780298984
Nutritionist in Hicksville, NY

Active since September 04, 2020Accepts Medicare Assignment
400 S OYSTER BAY RD STE 300, HICKSVILLE, NY 11801(215) 776-0389 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joelle B Porush NPPES

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

JOELLE B PORUSH (NPI 1780298984) is an individual nutritionist in Hicksville, New York, licensed in New York (86066500) and active in the NPI registry since September 2020. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1780298984
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameJOELLE B PORUSH
Location Address400 S OYSTER BAY RD STE 300Hicksville, NY 11801-3500
Mailing Address30 Walter CtCommack, NY 11725-3602 · (631) 592-8415
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
NPI 1780298984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License Licensed in NY · 86066500
Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

400 S OYSTER BAY RD STE 300, Hicksville, NY 11801

Other Identifiers 1

Other86066500License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joelle B Porush is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941735815
PECOS Enrollment IDI20241202001616

Other Providers at the Same Location NPPES 3

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

Dietitian, Registered
400 S OYSTER BAY RD STE 300
HICKSVILLE, NY 11801
Dietitian, Registered
400 S OYSTER BAY RD STE 300
HICKSVILLE, NY 11801
Internal Medicine
400 S OYSTER BAY RD STE 300
HICKSVILLE, NY 11801

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 Joelle Porush's NPI number?

The NPI number for Joelle Porush is 1780298984. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Joelle Porush located?

Joelle Porush practices at 400 S Oyster Bay Rd Ste 300, Hicksville, NY 11801. The listed phone number is (215) 776-0389.

What is Joelle Porush's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Joelle Porush enrolled in Medicare?

Yes. Joelle Porush is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joelle Porush was last updated on September 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.