Active NPI
Gordana Chelsvig, R.D., LDN
- Registered Dietitian
- Bala Cynwyd, PA
National Provider Identifier
1023491016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN002907
- Practice address
- 112 Bala Ave
2ND Floor
Bala Cynwyd, PA 19004-3025 - Phone
- (610) 667-1588
- Fax
- (610) 667-3699
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN002907 | PA | Primary |
Addresses
Primary practice location
112 Bala Ave
2ND Floor
Bala Cynwyd, PA 19004-3025
Mailing address
308 Woodbine Ave
Narberth, PA 19072-2001
Phone (610) 667-1588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN002907 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1023491016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 WOODBINE AVE",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722001",
"telephone_number": "610-667-1588",
"fax_number": "610-667-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BALA AVE",
"address_2": "2ND FLOOR",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043025",
"telephone_number": "610-667-1588",
"fax_number": "610-667-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELSVIG",
"first_name": "GORDANA",
"credential": "R.D., LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN002907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.