Robert William Iafelice, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1966 Issued in OH

Practice address

7536 Fredle Dr
Concord TWP, OH 44077-9406

Phone

(440) 773-3651

Fax

(440) 354-9333

NPI assigned

Dec 18, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1003052291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7536 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-773-3651",
            "fax_number": "440-354-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7536 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-773-3651",
            "fax_number": "440-354-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAFELICE",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.