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ALYSSA ROSE JACULLO
NPI 1952124968
Dietitian, Registered in Bala Cynwyd, PA

Active since November 07, 2024
1 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004(215) 264-2574 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Rose Jacullo NPPES

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

ALYSSA ROSE JACULLO (NPI 1952124968) is an individual dietitian, registered in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (DN007895) and active in the NPI registry since November 2024. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1952124968
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALYSSA ROSE JACULLO
Location Address1 PRESIDENTIAL BLVDBala Cynwyd, PA 19004-1017
Mailing Address12430 Wyndom RdPhiladelphia, PA 19154-1322 · (631) 943-1616
Phone(215) 264-2574
Sole ProprietorYes
Enumeration DateNovember 7, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1952124968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in PA · DN007895
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.
1 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004
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Secondary Practice Location 1

Location 112430 Wyndom RdPhiladelphia, PA 19154-1322 · Phone (631) 943-1616

Other Providers at the Same Location NPPES 19

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

UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP
Urology
1 PRESIDENTIAL BLVD, SUITE 100
BALA CYNWYD, PA 19004
Montgomery County (610) 667-3020
ARTHUR FOGELSON RD
Dietitian, Registered
1 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Montgomery County (267) 312-4420
MICHELLE L PERSUN MD
Urology
1 PRESIDENTIAL BLVD, SUITE 100
BALA CYNWYD, PA 19004
Montgomery County (610) 667-3020
YOUR WELLNESS CONSULTANTS LLC
Dietitian, Registered
1 PRESIDENTIAL BLVD, SUITE 203
BALA CYNWYD, PA 19004
Montgomery County (215) 431-8980
BARBARA TRUNK RD, LDN
Dietitian, Registered
1 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Montgomery County (215) 431-8980
UROLOGIC CONSULTANTS OF SOUTHEASTERN PENNSYLVANIA LLP
Pathology (Anatomic Pathology & Clinical Pathology)
1 PRESIDENTIAL BLVD, STE 100
BALA CYNWYD, PA 19004
Montgomery County (610) 667-3020
DR. KATINA NGUYEN DDS
Dentist (Oral and Maxillofacial Surgery)
1 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Montgomery County (909) 582-5356
SANDRA M. MACK
Social Worker (Clinical)
1 PRESIDENTIAL BLVD, SUITE 204
BALA CYNWYD, PA 19004
Montgomery County (610) 470-3215

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 Alyssa Jacullo's NPI number?

The NPI number for Alyssa Jacullo is 1952124968. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Alyssa Jacullo located?

Alyssa Jacullo practices at 1 Presidential Blvd, Bala Cynwyd, PA 19004. The listed phone number is (215) 264-2574.

What is Alyssa Jacullo's specialty?

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

When was this NPI record last updated?

The NPPES record for Alyssa Jacullo was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.