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

Jenna Ann Koroly, MS, RD, CSOWM, CDN

Individual provider Registered Dietitian · NPI 1568959633

Jenna Ann Koroly, MS, RD, CSOWM, CDN is a Registered Dietitian OR Nutrition Professional in New York, New York. Qualified in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
9
Licensed in
MA, NY
In the registry since
2018
Specialties on file
2
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

186 E 76th St
New York, NY 10021-2822
Phone: (212) 434-3285
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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 86073589 (NY)
Registered Dietitian Taxonomy 133V00000X · Licence 4857 (MA)

Record details

NPI number1568959633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CSOWM , CDN
Sole proprietorYes
NPI enumeratedApril 15, 2018
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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