Active NPI
Roldana Huganir, R.D.
- Registered Dietitian
- Elkins Park, PA
National Provider Identifier
1881969186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN005119
- Practice address
- 60 Township Line Rd
Elkins Park, PA 19027-2220 - Phone
- (215) 663-6422
- Fax
- (215) 663-6443
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | DN005119 | PA | Primary |
Addresses
Primary practice location
60 Township Line Rd
Elkins Park, PA 19027-2220
Mailing address
6405 N 6TH St
Philadelphia, PA 19126-3806
Phone (267) 449-5046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN005119 | Other | PA | PA PROFESSIONAL LICENSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan,Inc | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1881969186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 N 6TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191263806",
"telephone_number": "267-449-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 TOWNSHIP LINE RD",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190272220",
"telephone_number": "215-663-6422",
"fax_number": "215-663-6443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGANIR",
"first_name": "ROLDANA",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN005119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA PROFESSIONAL LICENSING",
"identifier": "DN005119",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.