Amy Cantor, RDN
Individual provider Active NPI Registered Dietitian · Newton Centre, MA
NPI 1104281674 · NPPES record last updated Apr 9, 2019
Key facts
- NPI
- 1104281674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 4023 (MA)
- Practice address
- 1280 Centre St Ste 210B
Newton Centre, MA 02459-1553 - Phone
- (617) 431-6605
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4023 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith S Berger RDN Nutrition Counseling LLC | Dietitian, Registered | Past |
Accepting new patients |
| Fenway Community Health Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4023 | MA | Yes |
Addresses
Primary practice location
1280 Centre St Ste 210B
Newton Centre, MA 02459-1553
Mailing address
1280 Centre St Ste 210B
Newton Centre, MA 02459-1553
Phone (617) 431-6605
Other providers in Newton Centre, MA
- Sibylle Bosslet
- Kimberly D Boyd
- Brian H. Miller
- Lawrence J Brown
- Bubble Children'S Dentistry and Orthodontics
- Alivia Grace Carlton
- Kathleen M Caruso
- Center for Advanced Dental Care
- Chatterboxes, LLC
- John E Churchill
All providers in Newton Centre, MA · Registered Dietitian in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.