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 registered under 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

Colleagues at Jgb Rehabilitation Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 13 clinicians in the practice; 10 are shown here.

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