Individual provider Active NPI

Joan R. Gangwer, MS,RD,CDE,LDN

  • Registered Dietitian
  • Willow Grove, PA
National Provider Identifier
1063482644
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001580 Issued in PA
Practice address
2300 Computer Rd
Suite H-39
Willow Grove, PA 19090-1752
Phone
(215) 588-6970
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DN001580 PA Primary

Addresses

Primary practice location

2300 Computer Rd
Suite H-39
Willow Grove, PA 19090-1752

Mailing address

1307 Cedar Rd
Ambler, PA 19002-4923
Phone (215) 588-6970

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN001580PAMDRegistered Dietitian

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13865/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063482644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CEDAR RD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024923",
            "telephone_number": "215-588-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE H-39",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-588-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGWER",
        "first_name": "JOAN",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "MS,RD,CDE,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.