THE LONGFELLOW CLUB
NPI 1003981903
Dietitian, Registered in Wayland, MA

Active since November 24, 2006
524 BOSTON POST RD, THE LONGFELLOW CLUB, WAYLAND, MA 01778(508) 358-7355(508) 358-3525 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About The Longfellow Club NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LONGFELLOW CLUB (NPI 1003981903) is a healthcare organization registered as a dietitian, registered in Wayland, Massachusetts and active in the NPI registry since November 2006. The organization lists Jane Polley, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1003981903
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSUDBURY RACQUET CLUB INC.
Location Address524 BOSTON POST RD, THE LONGFELLOW CLUBWayland, MA 01778-1833
Mailing Address524 Boston Post Rd, The Longfellow ClubWayland, MA 01778-1833 · (508) 358-7355 · Fax (508) 358-3525
Fax(508) 358-3525
Organization SubpartNo
Authorized OfficialJane PolleyDietitian · (508) 358-7355
Enumeration DateNovember 24, 2006
Last NPPES UpdateJune 9, 2015
✔ NPI 1003981903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedCounselorTaxonomy 101Y00000X
524 BOSTON POST RD, Wayland, MA 01778

Other Names 1

Doing Business AsThe Longfellow Club

Other Identifiers 5

Other763282MA · Tufts
OtherLG0023MA · Blue Cross Blue Shield
Other6300209MA · United Health Care
Other39411MA · Harvard Pilgrim Health
Other5582051MA · Aetna

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Longfellow Club is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Longfellow Club, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Registered Dietitian or Nutrition Professional
NPI 1093901563
524 BOSTON POST RD
Wayland, MA 01778
(508) 358-6022
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1124192505
203 OAK ST LONGFELLOW SPORTS CLUB
Natick, MA 01760
(508) 653-4633
✔ Accepts Medicare4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudbury Racquet Club Inc.'s NPI number?

The NPI number for Sudbury Racquet Club Inc. is 1003981903. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as The Longfellow Club.

Where is Sudbury Racquet Club Inc. located?

Sudbury Racquet Club Inc. is located at 524 Boston Post Rd The Longfellow Club, Wayland, MA 01778. The listed phone number is (508) 358-7355.

What is Sudbury Racquet Club Inc.'s specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sudbury Racquet Club Inc. enrolled in Medicare?

Yes. Sudbury Racquet Club Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sudbury Racquet Club Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Sudbury Racquet Club Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sudbury Racquet Club Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Sudbury Racquet Club Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudbury Racquet Club Inc. was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.