Barbara Bergen Mintz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

842413 Issued in NJ

Practice address

333 Bloomfield Ave
Caldwell, NJ 07006-5166

Phone

(012) 618-1705

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bwell Nutrition NJ

  • Registered Dietitian
  • Caldwell, NJ
  • NPI 1578331641

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1063567287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KNOLLWOOD TER",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065808",
            "telephone_number": "201-618-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065166",
            "telephone_number": "012-618-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "BARBARA",
        "middle_name": "BERGEN",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "842413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "238897",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "3309246",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "223452311",
            "identifier": "HORIZON BLUE CROSS",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "215962704",
            "identifier": "UNITED HEALTH CARE",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P3030430",
            "identifier": "OXFORD HEALTH PLAN",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine McGlynn, BCBA
• Douglas J McKay, DPM
• Kyle Mednick, LAC
• Enmanuel Mercedes, PH.D.
• Jamie Michel, LSW
• Janice V. Momongan, OT
• Patty Nasello
• Donatella Nesti, CLC, CD(DONA)
• New Jersey Center for Oral Surgery, LLC
• North Jersey Center for Mental Health

• Registered Dietitian in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.