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

Mrs. Jacqueline E Martin, MS, RD, CDN

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1114208089

Mrs. Jacqueline E Martin, MS, RD, CDN is a Pediatric Nutrition Registered Dietitian in Massapequa Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

13 Avenue Louise
Massapequa Park, NY 11762-3207
Phone: (516) 236-3984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 006357 (NY)

Record details

NPI number1114208089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN
Sole proprietorYes
NPI enumeratedSeptember 6, 2011
Last updated in NPPESSeptember 6, 2011