NPIMap

Organization Active NPI

Van Dusen Nutrition

  • Multi-Specialty Clinic/Center
  • Needham, MA
National Provider Identifier
1952892788
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
3284 Issued in MA
Legal business name
VAN DUSEN NUTRITION
Practice address
1492 Highland Ave Ste 4
Needham, MA 02492-2606
Phone
(646) 369-2255
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Leigh Van Dusen, MS, LDNNPI 1518474477
Title
Owner
Phone
(781) 343-1592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 3284 MA Primary

Addresses

Primary practice location

1492 Highland Ave Ste 4
Needham, MA 02492-2606

Mailing address

1492 Highland Ave Ste 4
Needham, MA 02492-2606
Phone (646) 369-2255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1952892788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 4",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922606",
            "telephone_number": "646-369-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE STE 4",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922606",
            "telephone_number": "646-369-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DUSEN NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "VAN DUSEN",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-343-1592",
        "authorized_official_credential": "MS, LDN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MA",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.