Organization Active NPI

The Center for Integrative Nutrition & Culinary Care, LLC

Doing business as Cancer Nutrition Care

  • Oncology Nutrition Registered Dietitian
  • Dover, MA
National Provider Identifier
1710634597
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X
Legal business name
THE CENTER FOR INTEGRATIVE NUTRITION & CULINARY CARE, LLC
Doing business as
Cancer Nutrition Care
Practice address
16 Pine St
Dover, MA 02030-2423
Phone
(978) 758-0510
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Robert M Simek
Title
President
Phone
(978) 758-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Nutrition Registered Dietitian 133VN1301X NU Primary

Addresses

Primary practice location

16 Pine St
Dover, MA 02030-2423

Mailing address

16 Pine St
Dover, MA 02030-2423
Phone (978) 758-0510

Other names 1

  • Cancer Nutrition Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1710634597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PINE ST",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302423",
            "telephone_number": "978-758-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PINE ST",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302423",
            "telephone_number": "978-758-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INTEGRATIVE NUTRITION & CULINARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SIMEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-758-0510"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Nutrition Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.