Active NPI
Joshua Briddes George, R.D.
- Registered Dietitian
- Glassboro, NJ
National Provider Identifier
1104198415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1015407
- Practice address
- 702 Heston Rd
Glassboro, NJ 08028-1626 - Phone
- (609) 332-0143
- NPI assigned
- Feb 1, 2012
- Last updated
- May 13, 2025
- 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 | 1015407 | NJ | Primary |
Addresses
Primary practice location
702 Heston Rd
Glassboro, NJ 08028-1626
Mailing address
24 N Main St
Ambler, PA 19002-5736
Phone (609) 332-0143
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015407 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1104198415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N MAIN ST",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025736",
"telephone_number": "609-332-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 HESTON RD",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281626",
"telephone_number": "609-332-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JOSHUA",
"middle_name": "BRIDDES",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-01",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1015407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.