NPIMap

Organization Active NPI

Case Specific Nutrition LLC

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1750758561
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CASE SPECIFIC NUTRITION LLC
Practice address
5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793
Phone
(412) 593-2048
Fax
(844) 311-7396
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Rob Marty
Title
Office Admin
Phone
(412) 726-5607

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793

Mailing address

5750 Baum Blvd Ste 306
Pittsburgh, PA 15206-3793
Phone (412) 726-5607

Other practice location 1

1631 Midtown Pl Ste 128
Raleigh, NC 27609-1300
Phone (412) 593-2048 ext. 1

Other practice location 2

9800A McKnight Rd Ste 203
Pittsburgh, PA 15237-6006
Phone (412) 593-2048 ext. 1

Other practice location 3

3 Robinson Plz # 205
Pittsburgh, PA 15205-1024
Phone (412) 593-2048 ext. 1

Other practice location 4

615 Washington Rd Ste 303
Pittsburgh, PA 15228-1927
Phone (412) 593-2048 ext. 1

Other practice location 5

1813 Golden Mile Hwy Ste 100
Pittsburgh, PA 15239-2827
Phone (412) 593-2048 ext. 1

Other identifiers 2

IdentifierTypeStateIssuer
1038862390002MedicaidPA
1038862390001MedicaidPA

Other names 1

  • A.M. Wade Nutrition Group LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160406000900 PA Part B Supplier - Clinic/Group Practice 6507164647 Receives reassigned benefits from 18 practitioners
Practice locations: Pittsburgh, PA
O20220720000701 PA MDPP Supplier - in-Person MDPP Supplier 6507164647 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pittsburgh, PA
O20250402000047 NC Part B Supplier - Clinic/Group Practice 6507164647 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1934 Livernois Rd
Troy, MI 48083
Phone (248) 686-0340

4000 Wake Forest Rd
Ste 280
Raleigh, NC 27609
Phone (919) 410-7744

1631 Midtown Pl
Ste 128
Raleigh, NC 27609
Phone 4125932048 ext. 1

1813 Golden Mile Hwy
#100
Pittsburgh, PA 15239
Phone 4125932048 ext. 1

615 Washington Rd
Pittsburgh, PA 15228
Phone (412) 343-1770

615 Washington Rd
Ste 303
Pittsburgh, PA 15228
Phone 4125932048 ext. 1

9800A McKnight Rd
Ste 203
Pittsburgh, PA 15237
Phone 4125932048 ext. 1

1813 Golden Mile Hwy
Pittsburgh, PA 15239

3471 Babcock Blvd
Ste 100
Pittsburgh, PA 15237
Phone 41259320481

1813 Golden Mile Hwy
Ste 100
Pittsburgh, PA 15239
Phone 4125932048 ext. 1

5750 Baum Blvd
Pittsburgh, PA 15206
Phone (412) 593-2048

5750 Baum Blvd
Ste 306
Pittsburgh, PA 15206
Phone (412) 593-2048

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1750758561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-726-5607",
            "fax_number": "844-311-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BAUM BLVD STE 306",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063793",
            "telephone_number": "412-593-2048",
            "fax_number": "844-311-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 Midtown Pl Ste 128",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276091300",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9800A McKnight Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152376006",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Robinson Plz # 205",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152051024",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Washington Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152281927",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1813 Golden Mile Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152392827",
            "country_code": "US",
            "telephone_number": "412-593-2048 x1",
            "fax_number": "844-311-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASE SPECIFIC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "412-726-5607"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038862390002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038862390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.M. Wade Nutrition Group LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.