NPIMap

Organization Active NPI

Blue Circle Dietetics & Nutrition PC

  • Registered Dietitian
  • East Aurora, NY
National Provider Identifier
1578840450
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BLUE CIRCLE DIETETICS & NUTRITION PC
Practice address
574 Main St
Suite 203
East Aurora, NY 14052-1751
Phone
(716) 908-9434
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Mr. Jeffrey C Ensminger, RD, CDE
Title
President
Phone
(716) 908-9434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

574 Main St
Suite 203
East Aurora, NY 14052-1751

Mailing address

PO Box 4876
Greenwich, CT 06831-0417
Phone (203) 612-3430

National Provider Directory

National Provider Directory

Locations

574 Main St
Ste 203
East Aurora, NY 14052
Phone (716) 608-3110

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1578840450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4876",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068310417",
            "telephone_number": "203-612-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 MAIN ST",
            "address_2": "SUITE 203",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521751",
            "telephone_number": "716-908-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CIRCLE DIETETICS & NUTRITION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "ENSMINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-908-9434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.