Active NPIIndividual providerSole proprietor

Gina M Izbicki, RD, LDN

Dietitian, Registered in Salem, Massachusetts

NPI Number1689114183
Practice location
16 Front St Ste 209, Salem, MA 01970-3743
Fax
866-921-9387
Last updated
May 11, 2021

Gina Marie Izbicki is a Dietitian, Registered based in Salem, MA. Gina Marie Izbicki practices in Salem, MA and has the professional credentials of RD, LDN. The NPI Number for Gina Marie Izbicki is 1689114183 and holds a License No. 4166 (MA). The current practice location address for Gina Marie Izbicki is 16 Front St Ste 209, Salem, MA 01970-3743 and can be reached out via phone at 978-927-0990 and via fax at 866-921-9387.

Provider Profile Details

NPI Number
1689114183
Provider Name
Gina Marie Izbicki
Credential
RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
16 Front St Ste 209, Salem, MA 01970-3743
Phone Number
978-927-0990
Fax Number
866-921-9387
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2017
Last Update Date
May 11, 2021
Certification Date
May 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Front St Ste 209
Salem, MA 01970-3743
City
Salem
Zip
01970-3743
Phone Number
978-927-0990
Fax Number
866-921-9387
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
16 Front St Ste 209
Salem, MA 01970-3743
City
Salem
State
MA
Zip
01970-3743
Phone Number
978-927-0990
Fax Number
866-921-9387

License Information

License Number
4166
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 Gina M Izbicki, RD, LDN?

The NPI number of Gina M Izbicki, RD, LDN is 1689114183. It was assigned on March 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Gina M Izbicki, RD, LDN?

Gina M Izbicki, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4166.

Where does Gina M Izbicki, RD, LDN practice?

The practice location is 16 Front St Ste 209, Salem, MA 01970-3743. The office can be reached at 978-927-0990 (phone) or 866-921-9387 (fax).

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 1689114183 directly on the NPPES registry website.

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