Active NPI
Elisa Marie Buzinski, MS RD LDN
- Registered Dietitian
- Oak Park, IL
National Provider Identifier
1891065751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.005196
- Practice address
- 820 North Blvd
Oak Park, IL 60301-1351 - Phone
- (708) 524-2445
- NPI assigned
- Jan 10, 2012
- 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 | 164.005196 | IL | Primary |
Addresses
Primary practice location
820 North Blvd
Oak Park, IL 60301-1351
Mailing address
1834 N 78TH Ave
Elmwood Park, IL 60707-3637
Phone (708) 205-2772
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.005196 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1891065751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 N 78TH AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607073637",
"telephone_number": "708-205-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 NORTH BLVD",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011351",
"telephone_number": "708-524-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZINSKI",
"first_name": "ELISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS RD LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.005196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.