Individual provider Active NPI

Amy Valanzola, RDN

  • Registered Dietitian
  • Toms River, NJ
National Provider Identifier
1033849583
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
864519 Issued in NJ
Practice address
25 Mule Rd Unit B4
Toms River, NJ 08755-5037
Phone
(732) 341-0020
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 864519 NJ Primary

Addresses

Primary practice location

25 Mule Rd Unit B4
Toms River, NJ 08755-5037

Mailing address

352 Jarome St
Brick, NJ 08724-2098
Phone (732) 202-9676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000023 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5890167472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bankim D. Shah M.D. PAGroup PAC ID 3870760531, 5 clinicians

Practice addresses (Care Compare)

25 Mule Rd
Unit B4
Toms River, NJ 08755-5037
Phone (732) 341-0020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
864519NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bankim D. Shah M.D. PA CurrentSince Dec 1, 2022 Accepting new patients

Locations

25 Mule Rd
Unit B4
Toms River, NJ 08755
Phone (732) 341-0020

19 Mule Rd
Ste C7
Toms River, NJ 08755
Phone (732) 557-4488

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1033849583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 JAROME ST",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242098",
            "telephone_number": "732-202-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALANZOLA",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "864519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.