Active NPI
Frederick Durso Jr., RDN
- Registered Dietitian
- Winchester, MA
National Provider Identifier
1407535792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 41 Highland Ave
Winchester, MA 01890-1446 - Phone
- (617) 910-7804
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
41 Highland Ave
Winchester, MA 01890-1446
Mailing address
22 Peverell St Apt 1
Boston, MA 02125-2480
Other practice location 1
22 Peverell St Apt 1
Boston, MA 02125-2480
Phone (617) 910-7804
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1407535792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PEVERELL ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021252480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 HIGHLAND AVE",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901446",
"telephone_number": "617-910-7804"
}
],
"practiceLocations": [
{
"address_1": "22 Peverell St Apt 1",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021252480",
"country_code": "US",
"telephone_number": "617-910-7804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURSO",
"first_name": "FREDERICK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.