Active NPIIndividual providerSole proprietor

Syrah M Mcgivern, RD

Dietitian, Registered in Medford, Massachusetts

NPI Number1780459305
Practice location
63 Watervale RD, Medford, MA 02155-1959
Fax
—
Last updated
November 24, 2023

Syrah Merkow Mcgivern is a Dietitian, Registered based in Medford, MA. Syrah Merkow Mcgivern practices in Medford, MA and has the professional credentials of RD. The NPI Number for Syrah Merkow Mcgivern is 1780459305 and holds a License No. LDN7131 (MA). The current practice location address for Syrah Merkow Mcgivern is 63 Watervale RD, Medford, MA 02155-1959 and can be reached out via phone at 617-909-0538.

Provider Profile Details

NPI Number
1780459305
Provider Name
Syrah Merkow Mcgivern
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
63 Watervale RD, Medford, MA 02155-1959
Phone Number
617-909-0538
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 24, 2023
Last Update Date
November 24, 2023
Certification Date
November 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Watervale RD
Medford, MA 02155-1959
Zip
02155-1959
Phone Number
617-909-0538
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
63 Watervale RD
Medford, MA 02155-1959
City
Medford
State
MA
Zip
02155-1959
Phone Number
617-909-0538

License Information

License Number
LDN7131
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 Syrah M Mcgivern, RD?

The NPI number of Syrah M Mcgivern, RD is 1780459305. It was assigned on November 24, 2023 and is currently active in the NPPES registry.

What is the specialty of Syrah M Mcgivern, RD?

Syrah M Mcgivern, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number LDN7131.

Where does Syrah M Mcgivern, RD practice?

The practice location is 63 Watervale RD, Medford, MA 02155-1959. The office can be reached at 617-909-0538 (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 1780459305 directly on the NPPES registry website.

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