Active NPI
Melvin Greengus, RDN LDN
- Registered Dietitian
- Harvey, IL
National Provider Identifier
1346869708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164001503
- Practice address
- 121 W 154TH St
Harvey, IL 60426 - Phone
- (708) 596-2220
- Fax
- (708) 596-2258
- NPI assigned
- Apr 15, 2020
- 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 | 164001503 | IL | Primary |
Addresses
Primary practice location
121 W 154TH St
Harvey, IL 60426
Mailing address
121 W 154TH St
Harvey, IL 60426
Phone (708) 596-2220
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164001503 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1346869708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W 154TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "60426",
"telephone_number": "708-596-2220",
"fax_number": "708-596-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W 154TH ST",
"city": "HARVEY",
"state": "IL",
"postal_code": "60426",
"telephone_number": "708-596-2220",
"fax_number": "708-596-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENGUS",
"first_name": "MELVIN",
"name_prefix": "Mr.",
"credential": "RDN LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164001503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.