NPIMap

Organization Active NPI

Utopia Wellcare LLC

  • Registered Dietitian
  • Media, PA
National Provider Identifier
1992388052
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
UTOPIA WELLCARE LLC
Practice address
460 Sycamore Mills Rd
Media, PA 19063-2032
Phone
(610) 331-8822
Fax
(610) 595-0323
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Daniel Bauwens
Title
Ceo
Phone
(610) 331-2882

Specialties & licenses 1

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

Addresses

Primary practice location

460 Sycamore Mills Rd
Media, PA 19063-2032

Mailing address

460 Sycamore Mills Rd
Media, PA 19063-2032
Phone (610) 331-8822

Other names 1

  • Utopia WellCare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.info@utopiawellcare.com Direct

National Provider Directory

National Provider Directory

Locations

1167 W Baltimore Pike
Ste 225
Media, PA 19063
Phone (724) 407-1503

Practitioners & affiliated clinicians

Practitioners 10

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": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1992388052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SYCAMORE MILLS RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632032",
            "telephone_number": "610-331-8822",
            "fax_number": "610-595-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SYCAMORE MILLS RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632032",
            "telephone_number": "610-331-8822",
            "fax_number": "610-595-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "BAUWENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-331-2882"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.info@utopiawellcare.com",
            "affiliation": "N",
            "endpointDescription": "microsoft 365",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "460 Sycamore Mills Rd",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190632032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Utopia WellCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.