Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Lazar, MS, RD, CDN

Individual provider Registered Dietitian · NPI 1184340762

Jacqueline Lazar, MS, RD, CDN is a Registered Dietitian OR Nutrition Professional in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Nourish, Inc, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1266 Ocean Pkwy Apt 1B
Brooklyn, NY 11230-5102
Phone: (917) 589-7900
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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 011142 (NY)

Record details

NPI number1184340762
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN
Sole proprietorNo
NPI enumeratedOctober 17, 2022
Last updated in NPPESOctober 17, 2022
Certification dateOctober 16, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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