JACLYN DYLEWSKI RD
NPI 1912573247
Dietitian, Registered in Glastonbury, CT

Active since May 27, 2021
330 WESTERN BLVD, GLASTONBURY, CT 06033(860) 246-2071 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Jan 8, 2025, May 27, 2021 (3 updates tracked since 2021).

About Jaclyn Dylewski Rd NPPES

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

JACLYN DYLEWSKI RD (NPI 1912573247) is an individual dietitian, registered in Glastonbury, Connecticut, licensed in Connecticut (2532) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1912573247
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACLYN DYLEWSKICredential: RD
Location Address330 WESTERN BLVDGlastonbury, CT 06033-4383
Mailing Address37 Canton RdGranby, CT 06035-2503 · (203) 560-8407
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1912573247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in CT · 2532✔ Licensed in MD · DX5237
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.
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X · License 2532 (CT)
330 WESTERN BLVD, Glastonbury, CT 06033

Other Names 1

Former Name (1)Jaclyn Rose Rd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Dylewski Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Dylewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 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 10

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

Surgery
330 WESTERN BLVD
GLASTONBURY, CT 06033
Physician Assistant (Surgical)
330 WESTERN BLVD
GLASTONBURY, CT 06033
Durable Medical Equipment & Medical Supplies
330 WESTERN BLVD
GLASTONBURY, CT 06033
Durable Medical Equipment & Medical Supplies
330 WESTERN BLVD
GLASTONBURY, CT 06033
Nurse Practitioner (Adult Health)
330 WESTERN BLVD
GLASTONBURY, CT 06033
Surgery
330 WESTERN BLVD
GLASTONBURY, CT 06033
Durable Medical Equipment & Medical Supplies
330 WESTERN BLVD
GLASTONBURY, CT 06033
Nurse Practitioner
330 WESTERN BLVD
GLASTONBURY, CT 06033

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 Jaclyn Dylewski's NPI number?

The NPI number for Jaclyn Dylewski is 1912573247. It was assigned to this individual provider in the NPPES registry on May 27, 2021. The provider is also known as Jaclyn Rose Rd.

Where is Jaclyn Dylewski located?

Jaclyn Dylewski practices at 330 Western Blvd, Glastonbury, CT 06033. The listed phone number is (860) 246-2071.

What is Jaclyn Dylewski's specialty?

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

Is Jaclyn Dylewski enrolled in Medicare?

Yes. Jaclyn Dylewski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Dylewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Dylewski reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Jaclyn Dylewski'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 Jaclyn Dylewski was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.