NPIMap

Organization Active NPI

Everlong Inc.

Doing business as Everlong Nutrition, LLC

  • Registered Dietitian
  • Worcester, MA
National Provider Identifier
1982209680
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
EVERLONG INC.
Doing business as
Everlong Nutrition, LLC
Practice address
44 Portland St
FL 4
Worcester, MA 01608-2023
Phone
(617) 249-3253
Fax
(866) 303-5661
NPI assigned
Dec 1, 2020
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Adi Wyshogrod, RDN
Title
Coo
Phone
(617) 249-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

44 Portland St
FL 4
Worcester, MA 01608-2023

Mailing address

265 Chelmsford St.
Ste 7 #1064
Chelmsford, MA 01824-2335
Phone (617) 249-3253

Other names 1

  • Everlong Nutrition, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240823003881 MA Part B Supplier - Clinic/Group Practice 9335681311 Receives reassigned benefits from 9 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

10089 Willow Creek Rd
Ste 2
San Diego, CA 92131

100 Center Creek Rd
Ste 108
Saint Augustine, FL 32084
Phone (904) 522-4399

2629 Lindberg Rd
Anderson, IN 46012

44 Portland St
Fl 4
Worcester, MA 01608
Phone (617) 249-3253

201 N Broadway
Billings, MT 59101

601 Allen St
Ste 209
Syracuse, NY 13210

37 S Main St
Ste 205
Chambersburg, PA 17201

519 W 22nd St
Ste 100
Sioux Falls, SD 57105
Phone (619) 549-9409

101 Creekstone Blvd
Ste 100
Franklin, TN 37064

222 N Expressway 77 83
Ste 100
Brownsville, TX 78521

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1982209680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CHELMSFORD ST.",
            "address_2": "STE 7 #1064",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242335",
            "telephone_number": "617-249-3253",
            "fax_number": "866-803-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PORTLAND ST",
            "address_2": "FL 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082023",
            "telephone_number": "617-249-3253",
            "fax_number": "866-303-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLONG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "WYSHOGROD",
        "authorized_official_first_name": "ADI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "617-249-3253",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everlong Nutrition, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everlong Nutrition, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.