Active NPI
Robert C. Trombley, RD
- Registered Dietitian
- Clementon, NJ
National Provider Identifier
1033469713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00942379
- Practice address
- 231 Lake Ave
Clementon, NJ 08021-4518 - Phone
- (856) 784-4201
- NPI assigned
- Sep 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00942379 | NJ | Primary |
Addresses
Primary practice location
231 Lake Ave
Clementon, NJ 08021-4518
Mailing address
231 Lake Ave
Clementon, NJ 08021-4518
Phone (856) 784-4201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00942379 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1033469713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 LAKE AVE",
"city": "CLEMENTON",
"state": "NJ",
"postal_code": "080214518",
"telephone_number": "856-784-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 LAKE AVE",
"city": "CLEMENTON",
"state": "NJ",
"postal_code": "080214518",
"telephone_number": "856-784-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLEY",
"first_name": "ROBERT",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "00942379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clementon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.