Active NPI
Jonah Soolman, RD, LDN
- Registered Dietitian
- Wellesley, MA
National Provider Identifier
1245489368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 532652
- Practice address
- 422 Worcester St
Suite 103
Wellesley, MA 02481-5341 - Phone
- (781) 237-0470
- NPI assigned
- Sep 12, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 532652 | MA | Primary |
Addresses
Primary practice location
422 Worcester St
Suite 103
Wellesley, MA 02481-5341
Mailing address
422 Worcester St
Suite 103
Wellesley, MA 02481-5341
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 532652 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1245489368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 WORCESTER ST",
"address_2": "SUITE 103",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 WORCESTER ST",
"address_2": "SUITE 103",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815341",
"telephone_number": "781-237-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOLMAN",
"first_name": "JONAH",
"name_prefix": "Mr.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-12",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "532652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.