Individual provider Active NPI

Alyssa Krober, RDN

  • Registered Dietitian
  • North Middletown, NJ
National Provider Identifier
1063873495
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86026760 Issued in NY
Practice address
208 Hudson Ave
North Middletown, NJ 07748-5531
Phone
(732) 939-9235
NPI assigned
Mar 12, 2016
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 86026760 NY Primary

Addresses

Primary practice location

208 Hudson Ave
North Middletown, NJ 07748-5531

Mailing address

208 Hudson Ave
North Middletown, NJ 07748-5531
Phone (732) 939-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NJ, AZ, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20251125003834 CO Practitioner - Registered Dietitian Or Nutrition Professional 1951893031 Reassigns benefits to 1 organization
I20251125004214 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1951893031 Reassigns benefits to 1 organization
I20251126004226 AZ Practitioner - Registered Dietitian Or Nutrition Professional 1951893031 Reassigns benefits to 1 organization
I20251204001485 TX Practitioner - Registered Dietitian Or Nutrition Professional 1951893031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749

208 Hudson Ave
North Middletown, NJ 07748-5531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86026760NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Surely Health, Inc. Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Jan 1, 2026 Accepting new patients
H-E-B, LP PastSince Jan 1, 2026 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (469) 395-8402

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1063873495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HUDSON AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485531",
            "telephone_number": "732-939-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HUDSON AVE",
            "city": "NORTH MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077485531",
            "telephone_number": "732-939-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROBER",
        "first_name": "ALYSSA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86026760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.