Active NPI
Eugene Bubis, ND, LDN
- Nutritionist
- Newton Highlands, MA
National Provider Identifier
1902950546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1911
- Practice address
- 1163 Walnut St
Suite 12
Newton Highlands, MA 02461-1265 - Phone
- (617) 965-1181
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1911 | MA | Primary |
| Registered Dietitian | 133V00000X | 1911 | MA | |
| Naturopath | 175F00000X | 1019 | OR |
Addresses
Primary practice location
1163 Walnut St
Suite 12
Newton Highlands, MA 02461-1265
Mailing address
1163 Walnut St
Suite 12
Newton Highlands, MA 02461-1265
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA23515 | Other | MA | HARVARD PILGRIM |
| LD0082 | Other | MA | BCBSMA |
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 |
|---|---|---|---|
| 1911 | MA | MD | Registered Dietitian |
| 1019 | OR | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902950546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 WALNUT ST",
"address_2": "SUITE 12",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 WALNUT ST",
"address_2": "SUITE 12",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611265",
"telephone_number": "617-965-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUBIS",
"first_name": "EUGENE",
"credential": "ND, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "1911",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1911",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1019",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA23515",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "LD0082",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.