D J Mazzoni, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN6799 Issued in MA

Practice address

4 Nathan Pratt Dr Unit 107
Concord, MA 01742-4640

Phone

(781) 591-0444

NPI assigned

Apr 15, 2021

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Umass Memorial Healthalliance Clinton Hospital Inc

  • Registered Dietitian
  • Leominster, MA
  • NPI 1841852811

  Dietitian, Registered

  Medicare reassignment NPD
• Mazzoni Operations, LLC

  dba Boston Nutrition and Dietetics

  • Registered Dietitian
  • Sudbury, MA
  • NPI 1538936885
  Authorized official Same address or phone
• Michael E. Merhige, MD, LLC

  • Cardiovascular Disease Physician
  • Niagara Falls, NY
  • NPI 1679755243
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1235710997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 MAIN ST REAR UNIT2",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311641",
            "telephone_number": "315-751-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NATHAN PRATT DR UNIT 107",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424640",
            "telephone_number": "781-591-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261064",
            "country_code": "US",
            "telephone_number": "315-751-6286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZONI",
        "first_name": "D",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "1394",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86079525",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "LDN6799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "djmazzoni@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4 Nathan Pratt Dr Unit 107",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017424640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Massachusetts Ear Nose and Throat Associates 2 LLC
• Katina Matheos, MA
• Louisa Mattson, PHD
• Liza Maugham, SOCIAL WORKER
• Kevin Mazzola, PH.D.
• Nicholas David McAuley, MD
• Alexandra Marie McCabe, OTR
• Melissa J McCarthy
• Sarah J McCue, M.D.
• Dawn Marie McCullough

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.