MS. THERESA M JEROMINEK MS, RD, CDOE
NPI 1992877393
Dietitian, Registered in Cranston, RI

NPI Status: Active since November 14, 2006

Contact Information

1170 PONTIAC AVE
CRANSTON, RI
ZIP 02920
Phone: (401) 895-9937
Fax: (401) 296-3998

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  • Individual
  • Female
  • Years of Experience 29
  • Dietitian, Registered
  • Accepts Medicare Approved Payment

About THERESA JEROMINEK

This page provides the complete NPI Profile along with additional information for Theresa Jerominek, a provider established in Cranston, Rhode Island with a medical specialization in Dietitian, Registered and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1992877393 assigned on November 2006. The practitioner's primary taxonomy code is 133V00000X with license number LDN00040 (RI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1992877393
Provider Name
MS. THERESA M JEROMINEK MS, RD, CDOE
Gender
Female
Entity Type
Individual
Location Address
1170 PONTIAC AVE CRANSTON, RI 02920
Location Phone
(401) 895-9937
Location Fax
(401) 296-3998
Mailing Address
1170 PONTIAC AVE CRANSTON, RI 02920
Mailing Phone
(401) 895-9937
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
Yes
Enumeration Date
11-14-2006
Last Update Date
07-25-2024
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Location Map

Secondary Locations

  • 333 Union St
    New Bedford, MA 02740
    (617) 671-0728

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
LDN00040
License State
RI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

LDN7242 (MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30844OTHER (01)RIBCBSRI

Medicare Participation & PECOS Enrollment Status

Theresa Jerominek is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2567526957

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090129000544, I20240805000340

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $25.77 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02920 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.1
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $25.77
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992877393, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 6 + 7 + 1 + 4 + 3 + 1 + 8 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1992877393.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Nurse Practitioner (Family)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist
1170 PONTIAC AVE
CRANSTON, RI 02920
Counselor (Mental Health)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychiatry & Neurology (Psychiatry)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Dietitian, Registered
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychologist (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychiatry & Neurology (Psychiatry)
1170 PONTIAC AVE
CRANSTON, RI 02920
Nurse Practitioner (Acute Care)
1170 PONTIAC AVE
CRANSTON, RI 02920
Clinical Neuropsychologist
1170 PONTIAC AVE
CRANSTON, RI 02920
Social Worker (Clinical)
1170 PONTIAC AVE
CRANSTON, RI 02920
Psychiatry & Neurology (Psychiatry)
1170 PONTIAC AVE
CRANSTON, RI 02920
Nurse Practitioner (Psychiatric/Mental Health)
1170 PONTIAC AVE
CRANSTON, RI 02920
Nurse Practitioner (Family)
1170 PONTIAC AVE
CRANSTON, RI 02920
Registered Nurse
1170 PONTIAC AVE
CRANSTON, RI 02920
Registered Nurse
1170 PONTIAC AVE
CRANSTON, RI 02920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992877393, enumerated as an "individual" on November 14, 2006.

The provider is located at 1170 PONTIAC AVE CRANSTON, RI 02920 and the phone number is (401) 895-9937.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.