| Mr Matthew C Priven, RD, LDN | |
|
18 Highland Ave, Newburyport, MA 01950-3812 | |
| (857) 302-3060 | |
| (877) 778-9196 |
| Full Name | Mr Matthew C Priven |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 18 Highland Ave, Newburyport, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255886479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86025769 (Massachusetts) | Secondary |
| 133V00000X | Dietitian, Registered | 3879 (Massachusetts) | Primary |
| Provider Name | Matt Priven Rd Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912456633 PECOS PAC ID: 2466721279 Enrollment ID: O20170711002472 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew C Priven, RD, LDN 18 Island Hill Ave Unit 211, Melrose, MA 02176-6154 Ph: (857) 302-3060 | Mr Matthew C Priven, RD, LDN 18 Highland Ave, Newburyport, MA 01950-3812 Ph: (857) 302-3060 |
Marit Pywell, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Highland Ave, Newburyport, MA 01950 Phone: 978-463-1049 Fax: 978-463-1198 | |
Sally Cargill Knapp, MPH, RD, CSP, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 257 Low St, Newburyport, MA 01950 Phone: 978-388-9880 | |
Mrs. Christine Lyn Paradise Mastrangelo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4 Quail Run Holw, Newburyport, MA 01950 Phone: 781-248-8238 | |
Miss Ginny R King, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Pine St, Unit #1, Newburyport, MA 01950 Phone: 978-518-2594 | |
Alexandra Papadakis, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Charron Dr, Newburyport, MA 01950 Phone: 978-992-7252 | |
Mrs. Regina Shirley, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Gove Dr, Newburyport, MA 01950 Phone: 978-518-5078 |