Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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In Kio Mac, RD, CDN

Individual provider Registered Dietitian · NPI 1720661622

In Kio Mac, RD, CDN is a Registered Dietitian OR Nutrition Professional in New York, New York. Qualified in 2014, 12 years ago. Practices with Jgb Rehabilitation Corporation, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

250 W 64th St
New York, NY 10023
Phone: (212) 769-6313
Fax: (212) 769-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 009350-01 (NY)
Registered Dietitian Taxonomy 133V00000X · Licence 1068495 (NY)

Record details

NPI number1720661622
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CDN
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jgb Rehabilitation Corporation — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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