Adelaide M. Puelzl-Quinn, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1375 Issued in MA

Practice address

1 Joslin PL
Boston, MA 02215-5306

Phone

(617) 732-2603

NPI assigned

Feb 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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 and National Provider Directory roles.

• Joslin Clinic Inc

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528003621
  Medicare reassignment NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1245203157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOSLIN PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155306",
            "telephone_number": "617-732-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOSLIN PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155306",
            "telephone_number": "617-732-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUELZL-QUINN",
        "first_name": "ADELAIDE",
        "middle_name": "M.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "680078",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA16258",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0033089",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "LD0159",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaetano Pucci, CPHT
• Adam Roman Puchalski, M.D.
• Kathleen Marie Puckett-Leslie, APRN,BC
• Mark Puder, M.D.
• Harish Seshadri Pudukodu, MD
• Federico Puerta Martinez, MD
• Juan Jose Puerta Martinez, MD
• Alisa Pugacheva, MPH
• Joyce Marie Pugatch, NP
• Marianne Pugatch, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.