Active NPIIndividual providerSole proprietor

Susan Zelenak, RDN

Dietitian, Registered in Brockton, Massachusetts

NPI Number1407570344
Practice location
130 Quincy Ave, Brockton, MA 02302-2803
Fax
—
Last updated
August 20, 2024

Susan Zelenak is a Dietitian, Registered based in Brockton, MA. Susan Zelenak practices in Brockton, MA and has the professional credentials of RDN. The NPI Number for Susan Zelenak is 1407570344 and holds a License No. 86092926 (CA). The current practice location address for Susan Zelenak is 130 Quincy Ave, Brockton, MA 02302-2803 and can be reached out via phone at 508-941-7250.

Provider Profile Details

NPI Number
1407570344
Provider Name
Susan Zelenak
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
130 Quincy Ave, Brockton, MA 02302-2803
Phone Number
508-941-7250
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2022
Last Update Date
August 20, 2024
Certification Date
August 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Quincy Ave
Brockton, MA 02302-2803
Zip
02302-2803
Phone Number
508-941-7250
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
130 Quincy Ave
Brockton, MA 02302-2803
City
Brockton
State
MA
Zip
02302-2803
Phone Number
508-941-7250

License Information

License Number (1)
86092926
License State (1)
CA
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
LDN6815
License State (2)
MA
Taxonomy (2)
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 Susan Zelenak, RDN?

The NPI number of Susan Zelenak, RDN is 1407570344. It was assigned on October 3, 2022 and is currently active in the NPPES registry.

What is the specialty of Susan Zelenak, RDN?

Susan Zelenak, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CA under license number 86092926.

Where does Susan Zelenak, RDN practice?

The practice location is 130 Quincy Ave, Brockton, MA 02302-2803. The office can be reached at 508-941-7250 (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 1407570344 directly on the NPPES registry website.

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