Phyllis Loduca

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN005796 Issued in PA

Practice address

412 Welsford Rd
Fairless Hills, PA 19030

Phone

(267) 981-5770

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245758374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 WELSFORD RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304016",
            "telephone_number": "267-981-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WELSFORD RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "267-981-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODUCA",
        "first_name": "PHYLLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Kuchinsky, NP-C
• Jasia Lachcik, D.C.
• Kim C Lee, PHARMACIST
• Yuliya Leyzerzon, O.D.
• Nuofei Lin
• Sean Loose, MD
• Kelly Lyons, LPN
• Wendy Robin Mailman, M.D.
• Jack Zhixiang Mao, PHARMD, RPH, BS
• Arun Kumar Mathur, DMD PHD

• All providers in Fairless Hills, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.