Active NPI
Elissa Goldman, RD
- Registered Dietitian
- Belmont, MA
National Provider Identifier
1770060832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 98 Fairview Ave
Belmont, MA 02478 - Phone
- (857) 529-7548
- NPI assigned
- Jul 22, 2018
- 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 | MA | Primary |
Addresses
Primary practice location
98 Fairview Ave
Belmont, MA 02478
Mailing address
1337 Massachusetts Avenue #305
Arlington, MA 02476
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition by Elissa LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
7 Central St
Ste 207
Arlington, MA 02476
Phone (781) 641-3664
7 Central St
Ste 220
Arlington, MA 02476
Phone (617) 958-2492
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1770060832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 MASSACHUSETTS AVENUE #305",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 FAIRVIEW AVE",
"city": "BELMONT",
"state": "MA",
"postal_code": "02478",
"telephone_number": "857-529-7548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ELISSA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-22",
"last_updated": "2022-03-14",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.