Melissa L Ganz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

100 Highland St
Milton, MA 02186-3881

Phone

(617) 696-4600

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bid-Milton Physician Associates IncGroup PAC ID 7416375399, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bid-Milton Physician Associates Inc

  • Urgent Care Clinic/Center
  • Quincy, MA
  • NPI 1164060778
  Medicare reassignment Care Compare group NPD
• Bid-Milton Physician Associates Inc

  • Multi-Specialty Clinic/Center
  • Quincy, MA
  • NPI 1710862420
  NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1063122471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLAND ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863881",
            "telephone_number": "617-696-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANZ",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ehr",
            "affiliation": "N",
            "address_1": "100 Highland St",
            "city": "Milton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021863881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wing Kin Fung, M.D.
• Julianne Funtsch
• Christopher Gallant, LICSW
• Daniel Gallery, PSYD
• Stacey L Galvin, CRNA
• Gateway Consultation & Counseling Services LLC
• Audrey Gavin
• Gayle M. Pezzulo D.M.D.,P.C.
• John A Geary, PA
• George B McManama Jr MD PC

• Registered Dietitian in Milton, MA
• Providers in Milton, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.