Active NPI
Judy Dipaola, RDN
- Registered Dietitian
- Wakefield, MA
National Provider Identifier
1760622591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2402
- Practice address
- 591 North Ave Ste 4-2
Wakefield, MA 01880-1640 - Phone
- (781) 504-6108
- NPI assigned
- Mar 6, 2009
- Sex
- Female
- 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 | 2402 | MA | Primary |
Addresses
Primary practice location
591 North Ave Ste 4-2
Wakefield, MA 01880-1640
Mailing address
9 Salem St Apt 1
Wakefield, MA 01880-0147
Phone (781) 504-6108
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2402 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group, Inc., the | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1407862048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1760622591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SALEM ST APT 1",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018800147",
"telephone_number": "781-504-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 NORTH AVE STE 4-2",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801640",
"telephone_number": "781-504-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIPAOLA",
"first_name": "JUDY",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.