Active NPI
Robert John Pekare, RD, LD
- Registered Dietitian
- Hudson, OH
National Provider Identifier
1497247076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5642
- Practice address
- 5640 Hudson Industrial Pkwy
Hudson, OH 44236-5011 - Phone
- (234) 284-2376
- NPI assigned
- May 31, 2018
- 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 | 5642 | OH | Primary |
Addresses
Primary practice location
5640 Hudson Industrial Pkwy
Hudson, OH 44236-5011
Mailing address
5640 Hudson Industrial Pkwy
Hudson, OH 44236-5011
Phone (234) 284-2376
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 |
|---|---|---|---|
| 5642 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1497247076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 HUDSON INDUSTRIAL PKWY",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365011",
"telephone_number": "234-284-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 HUDSON INDUSTRIAL PKWY",
"city": "HUDSON",
"state": "OH",
"postal_code": "442365011",
"telephone_number": "234-284-2376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKARE",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "5642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.