Jessica Edelglass Rd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3852 Issued in MA

Legal business name

JESSICA EDELGLASS RD LLC

Practice address

1121 Washington St Ste 4
Newton, MA 02465-2150

Phone

(781) 667-4440

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Jessica Edelglass, RDNPI 1710363148

Title

Owner

Phone

(781) 667-4440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Edelglass, MS

  • Registered Dietitian
  • Cambridge, MA
  • NPI 1710363148
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1366931610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MYRTLE ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211140",
            "telephone_number": "781-667-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WASHINGTON ST STE 4",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024652150",
            "telephone_number": "781-667-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA EDELGLASS RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "EDELGLASS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-667-4440",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jensen
• Thomas Jensen
• Danielle Katherine Jerrier
• Alyssa Jerry
• Emily Brighton Jessee, MA
• Zachary Brian Jesuino
• Yanling Jiang, DMD
• Yin-Chu Jih
• JJJ Health, LLC
• Shefali Manhar Jobanputra, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.