Longfellow Wellesley THC, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LONGFELLOW WELLESLEY THC, LLC

Practice address

140 Great Plain Ave
Wellesley, MA 02482-7208

Phone

(508) 653-4633

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Miss Jane F Polley, MS RD, LDNNPI 1124192505

Title

Nutrition Director

Phone

(508) 653-4633

Specialties & licenses 1

Addresses

Other names 1

• Longfellow Wellesley Tennis and Health Club Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Frances Polley, RD, LDN

  • Registered Dietitian
  • Natick, MA
  • NPI 1124192505

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1124860333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GREAT PLAIN AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GREAT PLAIN AVE",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827208",
            "telephone_number": "508-653-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGFELLOW WELLESLEY THC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "POLLEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "NUTRITION DIRECTOR",
        "authorized_official_telephone_number": "508-653-4633",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longfellow Wellesley Tennis and Health Club",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Longfellow Wellesley Tennis and Health Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell B Litin, DMD
• Jeanne G Liu, MAOM
• Amelia Hart Lofaro
• Julia Y Logan, M.D.
• Stephanie Lombardi, LICSW
• Jessica Carolina Lopez
• Katherine Lorson, PHARMD
• Yvonne Louie, PHARMD
• Keriann Kostandia Loutraris, MSOT
• William Edward Loverme, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.