Active NPI
Jonathan Zangwill, RD, LDN
- Registered Dietitian
- Brockton, MA
National Provider Identifier
1083156392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4045
- Practice address
- 680 Centre St
Signature Healthcare Brockton Hospital - Food/Nutrition
Brockton, MA 02302-3308 - Phone
- (508) 941-7433
- NPI assigned
- Nov 17, 2016
- Sex
- Male
- 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 | 4045 | MA | Primary |
Addresses
Primary practice location
680 Centre St
Signature Healthcare Brockton Hospital - Food/Nutrition
Brockton, MA 02302-3308
Mailing address
724 Washington St
Apartment 4C
Stoughton, MA 02072-4227
Phone (609) 947-2900
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 |
|---|---|---|---|
| 4045 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1083156392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 WASHINGTON ST",
"address_2": "APARTMENT 4C",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724227",
"telephone_number": "609-947-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRE ST",
"address_2": "SIGNATURE HEALTHCARE BROCKTON HOSPITAL - FOOD/NUTRITION",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023023308",
"telephone_number": "508-941-7433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANGWILL",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.