IndividualActive
Alyssa Jacullo
NPI 1952124968 · Registered Dietitian · Bala Cynwyd, PA
Alyssa Jacullo is a Registered Dietitian provider in Bala Cynwyd, PA (NPI 1952124968).
Provider details
- NPI number
- 1952124968
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN007895 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Presidential Blvd
Bala Cynwyd, PA 19004-1017
Phone: (215) 264-2574
Street-level locationGet directions
Mailing address
12430 Wyndom Rd
Philadelphia, PA 19154-1322
Additional practice locations (1)
- 12430 Wyndom RdPhiladelphia, PA 19154-1322Phone: (631) 943-1616
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Alyssa Jacullo's NPI number?
- Alyssa Jacullo's National Provider Identifier (NPI) is 1952124968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alyssa Jacullo's specialty?
- Alyssa Jacullo is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Alyssa Jacullo located?
- Alyssa Jacullo's practice location on file with NPPES is 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017.
- What is Alyssa Jacullo's phone number?
- The practice phone number listed in the NPPES registry for Alyssa Jacullo is (215) 264-2574.
- Is Alyssa Jacullo's NPI active?
- Yes — Alyssa Jacullo's NPI (1952124968) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.