MEDICARE: JAMES DOUGHERTY RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1205795887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES DOUGHERTY RDN

Provider Business Mailing Address
First Line	:	218 PARKER AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 PARKER AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1222
Country	:	US
Telephone Number	:	610-585-8003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1144466491 — DR. JERI LYNN CROWELL EDD, NCC, LPC, CTRTC
Practice Location Address:

1845 UPPER RIVER RD
MACON, GA
31211-1222

Practice Phone: 478-747-1407
Practice Fax: 478-745-7314

1114372562 — MARIE TAKEM AZIENWI
Practice Location Address:

10232 PRINCE PL
UPPER MARLBORO, MD
20774-1222

Practice Phone: 240-755-2266
Practice Fax:

1659963544 — MS. SUSAN TURRIFF LEICHTMAN LICSW
Practice Location Address:

29 WHITE PINE RD
NEWTON UPPER FALLS, MA
02464-1222

Practice Phone: 617-512-3823
Practice Fax:

1083583108 — IBIJOKE ABIODUN FUNMILAYO
Practice Location Address:

1222 CHILEAN TEAL TER
UPPER MARLBORO, MD
20774-7136

Practice Phone: 301-683-4775
Practice Fax:

1356941157 — OBOT GRACE TIGAH DNP
Practice Location Address:

7200 CHESTNUT ST
UPPER DARBY, PA
19082-3156

Practice Phone: 215-351-5500
Practice Fax:

1316805278 — SUSHA DAYANANDAN FNP-BC
Practice Location Address:

103 ASHBY RD
UPPER DARBY, PA
19082-3129

Practice Phone: 484-995-9840
Practice Fax:

Directions to “ JAMES DOUGHERTY RDN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.