Individual provider Active NPI

Joan Carol Buchbinder, MS, RD, LDN, FADA

  • Registered Dietitian
  • Needham, MA
National Provider Identifier
1740311190
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
465 Issued in MA
Practice address
1307 Great Plain Ave
Needham, MA 02492-1751
Phone
(617) 558-5536
Fax
(781) 444-0076
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 465 MA Primary

Addresses

Primary practice location

1307 Great Plain Ave
Needham, MA 02492-1751

Mailing address

1307 Great Plain Ave
Needham, MA 02492-1751
Phone (617) 558-5536

Other identifiers 2

IdentifierTypeStateIssuer
39224OtherMAPILGRIMHEALTHCARE
719686OtherMATUFTSHEALTH PLAN PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000770 MA Practitioner - Registered Dietitian Or Nutrition Professional 6406947332 Practice locations: Needham, MA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1307 Great Plain Ave
Needham, MA 02492-1751
Phone (617) 694-5737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
465MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1740311190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921751",
            "telephone_number": "617-558-5536",
            "fax_number": "781-444-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 GREAT PLAIN AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024921751",
            "telephone_number": "617-558-5536",
            "fax_number": "781-444-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHBINDER",
        "first_name": "JOAN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN, FADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIMHEALTHCARE",
            "identifier": "39224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTSHEALTH PLAN PROVIDER",
            "identifier": "719686",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.