Individual provider Active NPI

Reem Jabr, MA RD LDN

  • Registered Dietitian
  • Waltham, MA
National Provider Identifier
1235341108
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1901 Issued in MA
Practice address
52 2ND Ave
Suite 2000
Waltham, MA 02451-1127
Phone
(781) 487-4040
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1901 MA Primary

Addresses

Primary practice location

52 2ND Ave
Suite 2000
Waltham, MA 02451-1127

Mailing address

52 2ND Ave
Suite 2000
Waltham, MA 02451-1127
Phone (781) 487-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000473 MA Practitioner - Registered Dietitian Or Nutrition Professional 2264478700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

52 2ND Ave
Waltham, MA 02451-1152
Phone (781) 487-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1901MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 19, 2014 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

52 Second Ave
Waltham, MA 02451
Phone (781) 341-3966

52 Second Ave
Ste 2000
Waltham, MA 02451
Phone (781) 487-4040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1235341108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 2ND AVE",
            "address_2": "SUITE 2000",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511127",
            "telephone_number": "781-487-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 2ND AVE",
            "address_2": "SUITE 2000",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511127",
            "telephone_number": "781-487-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABR",
        "first_name": "REEM",
        "credential": "MA RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.