Active NPI
David Avram Wolfe, RD
- Registered Dietitian
- Brighton, MA
National Provider Identifier
1164820288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3446
- Practice address
- 736 Cambridge St
Attn: CNTR for Weight Control
Brighton, MA 02135-2907 - Phone
- (617) 562-7474
- NPI assigned
- Dec 6, 2014
- 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 | 3446 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Attn: CNTR for Weight Control
Brighton, MA 02135-2907
Mailing address
736 Cambridge St
Attention Center for Weight Control
Brighton, MA 02135-2907
Phone (617) 388-7481
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1164820288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "ATTENTION CENTER FOR WEIGHT CONTROL",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-388-7481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"address_2": "ATTN: CNTR FOR WEIGHT CONTROL",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-562-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "DAVID",
"middle_name": "AVRAM",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-06",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.