MR. JADEN A GONSALVES
NPI 1811879943
Nutritionist - Nutrition, Education in New Bedford, MA
About Mr. Jaden A Gonsalves NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JADEN A GONSALVES (NPI 1811879943) is an individual nutrition, education provider in New Bedford, Massachusetts and active in the NPI registry since July 2025. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jaden A Gonsalves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaden Gonsalves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Plains, MD 20695
- Reassigned Medicare billing, Maryland enrollment
- 13 clinicians in this Medicare group
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jaden Gonsalves's NPI number?
The NPI number for Jaden Gonsalves is 1811879943. It was assigned to this individual provider in the NPPES registry on July 21, 2025.
Where is Jaden Gonsalves located?
Jaden Gonsalves practices at 1145 Kempton St, New Bedford, MA 02740. The listed phone number is (774) 992-5411.
What is Jaden Gonsalves's specialty?
The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.
Is Jaden Gonsalves enrolled in Medicare?
Yes. Jaden Gonsalves is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaden Gonsalves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaden Gonsalves reassigns Medicare benefits to Core Value Corporation (White Plains, MD). The 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 Jaden Gonsalves'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 Jaden Gonsalves was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mr. Jaden A Gonsalves · NPI 1811879943
Nutrition, Education provider in New Bedford, Massachusetts. Individual provider, active in the CMS NPPES registry since July 21, 2025.
## Identity
- **NPI:** 1811879943 (Entity type: Individual)
- **Enumerated:** July 21, 2025
- **Primary specialty:** Nutritionist - Nutrition, Education · taxonomy 133NN1002X
- **Sole proprietor:** No
## Practice location
- **Address:** 1145 KEMPTON ST, New Bedford, MA 02740-1531
- **Phone:** (774) 992-5411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Core Value Corporation (NPI 1265961247, White Plains, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811879943) · Data from the CMS NPPES public registry.