NPIMap

Organization Active NPI

Adagio Health Inc.

  • Nutrition Education Nutritionist
  • Erie, PA
National Provider Identifier
1932505286
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
ADAGIO HEALTH INC.
Practice address
240 W 11TH St
Suite N
Erie, PA 16501-1758
Phone
(844) 328-9473
Fax
(814) 455-7463
NPI assigned
Nov 14, 2014
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAGIO HEALTH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
BJ Leber
Title
President/Ceo
Phone
(412) 288-2130

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Nutrition Education Nutritionist 133NN1002X NU Primary
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

240 W 11TH St
Suite N
Erie, PA 16501-1758

Mailing address

960 Penn Ave
Suite 600
Pittsburgh, PA 15222-3818
Phone (412) 288-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000249 PA Part B Supplier - Clinic/Group Practice 3870488950 Receives reassigned benefits from 49 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Castle, PA; Uniontown, PA; Turtle Creek, PA; Seneca, PA; Pittsburgh, PA; Indiana, PA; Greensburg, PA; Erie, PA…

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

National Provider Directory

National Provider Directory
Part of
Family Health Council I

Locations

240 W 11th St
Ste N
Erie, PA 16501
Phone (844) 328-9473

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1932505286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PENN AVE",
            "address_2": "SUITE 600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223818",
            "telephone_number": "412-288-2130",
            "fax_number": "412-288-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "SUITE N",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "844-328-9473",
            "fax_number": "814-455-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAGIO HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAGIO HEALTH INC.",
        "enumeration_date": "2014-11-14",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LEBER",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-288-2130"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.

Verify at the official NPI Registry.