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

Individual provider Registered Dietitian · NPI 1366072357

Roseanne Nenninger, ND is a Registered Dietitian in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

115 Randall Ave
Port Jefferson, NY 11777-1638
Phone: (631) 834-2502
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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 3866 (NY)

Record details

NPI number1366072357
Entity typeIndividual (Type 1)
GenderFemale
Credentials ND
Sole proprietorYes
NPI enumeratedJanuary 19, 2020
Last updated in NPPESJanuary 19, 2020
Certification dateJanuary 19, 2020

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