Active NPI
Metabolic Designs, Inc.
- Registered Dietitian
- Woburn, MA
National Provider Identifier
1124171665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 133V00000X
- Legal business name
- METABOLIC DESIGNS, INC.
- Practice address
- 186 Cambridge Rd
Suite #11
Woburn, MA 01801-4793 - Phone
- (781) 938-6392
- Fax
- (781) 938-7412
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Joseph Cannava Jr., L.D.R.D.
- Title
- Licensed Registered Dietitian
- Phone
- (781) 938-6392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 133V00000X | MA | Primary |
Addresses
Primary practice location
186 Cambridge Rd
Suite #11
Woburn, MA 01801-4793
Mailing address
186 Cambridge Rd
Suite #11
Woburn, MA 01801-4793
Phone (781) 938-6392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39478 | Other | MA | HARVARD PILGRAM |
| LD0064 | Other | MA | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
186 Cambridge Rd
Ste 11
Woburn, MA 01801
Phone (781) 938-6392
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Woburn, MA
- NPI 1669623088
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124171665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 CAMBRIDGE RD",
"address_2": "SUITE #11",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014793",
"telephone_number": "781-938-6392",
"fax_number": "781-938-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 CAMBRIDGE RD",
"address_2": "SUITE #11",
"city": "WOBURN",
"state": "MA",
"postal_code": "018014793",
"telephone_number": "781-938-6392",
"fax_number": "781-938-7412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METABOLIC DESIGNS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CANNAVA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "LICENSED REGISTERED DIETITIAN",
"authorized_official_telephone_number": "781-938-6392",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "L.D.R.D."
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "133V00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "39478",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LD0064",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.