Active NPIIndividual providerSole proprietor

Mrs. Sandra M Athanas-Moccia, RD

Dietitian, Registered in West Roxbury, Massachusetts

NPI Number1285740555
Practice location
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Fax
—
Last updated
November 26, 2019

Sandra Marie Athanas-Moccia is a Dietitian, Registered based in West Roxbury, MA. Sandra Marie Athanas-Moccia practices in West Roxbury, MA and has the professional credentials of RD. The NPI Number for Sandra Marie Athanas-Moccia is 1285740555 and holds a License No. 666 (MA). The current practice location address for Sandra Marie Athanas-Moccia is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 and can be reached out via phone at 857-203-5910.

Provider Profile Details

NPI Number
1285740555
Provider Name
Sandra Marie Athanas-Moccia
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
1400 Vfw Pkwy, West Roxbury, MA 02132-4927
Phone Number
857-203-5910
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2006
Last Update Date
November 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Zip
02132-4927
Phone Number
857-203-5910
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
43 Hastings RD
Dedham, MA 02026-5407
City
Dedham
State
MA
Zip
02026-5407
Phone Number
781-320-3636

License Information

License Number
666
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sandra M Athanas-Moccia, RD?

The NPI number of Mrs. Sandra M Athanas-Moccia, RD is 1285740555. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sandra M Athanas-Moccia, RD?

Mrs. Sandra M Athanas-Moccia, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 666.

Where does Mrs. Sandra M Athanas-Moccia, RD practice?

The practice location is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927. The office can be reached at 857-203-5910 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285740555 directly on the NPPES registry website.

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