GRANITE MEDICAL GROUP
NPI 1427428978
Dietitian, Registered in Quincy, MA
- Organization
- Dietitian, Registered
- CLIA Number: 22D0078229
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-06-2026
About GRANITE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Granite Medical Group, a provider established in Quincy, Massachusetts operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1427428978 assigned on September 2015. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Granite Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Granite Medical Group. The authorized official of this NPI record is Dr. Daniel Burnes Md (Interim Chief Executive Officer)
- NPI
- 1427428978 Verify this NPI
- Provider Legal Name
- ATRIUS HEALTH, INC.
- Other Organization Name
- GRANITE MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 500 CONGRESS ST SUITE 3C QUINCY, MA 02169
- Location Phone
- (617) 471-0033
- Mailing Address
- 275 GROVE ST SUITE 3-300 AUBURNDALE, MA 02466
- Mailing Phone
- (617) 559-8374
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-28-2015
- Last Update Date
- 09-28-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License State
- MA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | (MA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D0078229
- Facility Type
- Physician Office
- Certificate Effective Date
- December 07, 2024
- Certificate Expiration Date
- December 06, 2026
- Laboratory Director
- DR. ANDREY PRILUTSKIY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Granite Medical Group on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
QUINCY, MA 02169
QUINCY, MA 02169
QUINCY, MA 02169
QUINCY, MA 02169
QUINCY, MA 02169
QUINCY, MA 02169
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427428978, enumerated as an "organization" on September 28, 2015.
The provider is located at 500 CONGRESS ST SUITE 3C QUINCY, MA 02169 and the phone number is (617) 471-0033.
Dietitian, Registered with taxonomy code 133V00000X.
