Michael Niejadlik, MS, RD, LDN, CSCS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86102801 Issued in MA

Practice address

288 Grove St
Worcester, MA 01605-3934

Phone

(774) 823-5878

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1235755653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053934",
            "telephone_number": "508-852-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053934",
            "telephone_number": "774-823-5878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Central Tpke",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "MA",
            "postal_code": "015902328",
            "country_code": "US",
            "telephone_number": "774-823-5878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEJADLIK",
        "first_name": "MICHAEL",
        "credential": "MS, RD, LDN, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86102801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen James Nicoletti
• Patricia Nicols
• Marek Daniel Nicpon, MD
• Rebecca Ann Niddrie, DPT
• Yvonne Marie Niebuhr
• Lauren Niemann
• Ashlin Winter Niemczyk, M.ED., BCBA
• Matthew Adam Niemi, M.D.
• Ashley Elizabeth Nieva
• Cristal W Nieves Martinez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.