JESSICA EDELGLASS RD LLC
NPI 1366931610
Dietitian, Registered in Newton, MA

Q: What is Jessica Edelglass Rd LLC's NPI number?

The NPI number for Jessica Edelglass Rd LLC is 1366931610. It was assigned to this organization in the NPPES registry on May 2, 2018.

Q: What is Jessica Edelglass Rd LLC's specialty?

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

Active since May 02, 2018

1121 WASHINGTON ST STE 4, NEWTON, MA 02465(781) 667-4440 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jessica Edelglass Rd Llc NPPES

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

JESSICA EDELGLASS RD LLC (NPI 1366931610) is a healthcare organization registered as a dietitian, registered in Newton, Massachusetts and active in the NPI registry since May 2018. The organization lists Jessica Edelglass, Owner, as its authorized official.

NPPES Registry Identity

NPI1366931610

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameJESSICA EDELGLASS RD LLC

Location Address1121 WASHINGTON ST STE 4Newton, MA 02465-2150

Mailing Address137 Myrtle StAshland, MA 01721-1140 · (781) 667-4440

Phone(781) 667-4440

Organization SubpartNo

Authorized OfficialJessica EdelglassOwner · (781) 667-4440

Enumeration DateMay 2, 2018

✔ NPI 1366931610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MA · 3852

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.

1121 WASHINGTON ST STE 4, Newton, MA 02465

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Edelglass Rd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jessica Edelglass Rd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Edelglass, MS

Registered Dietitian or Nutrition Professional

NPI 1710363148

215 FIRST ST
Cambridge, MA 02142

(617) 491-8989

✔ Accepts Medicare7.3 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 Jessica Edelglass Rd LLC's NPI number?

The NPI number for Jessica Edelglass Rd LLC is 1366931610. It was assigned to this organization in the NPPES registry on May 2, 2018.

Where is Jessica Edelglass Rd LLC located?

Jessica Edelglass Rd LLC is located at 1121 Washington St Ste 4, Newton, MA 02465. The listed phone number is (781) 667-4440.

What is Jessica Edelglass Rd LLC's specialty?

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

Is Jessica Edelglass Rd LLC enrolled in Medicare?

Yes. Jessica Edelglass Rd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jessica Edelglass Rd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Jessica Edelglass Rd LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Edelglass Rd LLC was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.