Individual provider Active NPI

Haley Lynn Bencivengo, MS

  • Registered Dietitian
  • Allentown, NJ
National Provider Identifier
1174489785
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1578830576 Issued in NJ
Practice address
1278 Yardville Allentown Rd
Allentown, NJ 08501-1866
Phone
(609) 738-3143
NPI assigned
Dec 27, 2025
Last updated
Dec 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 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 1578830576 NJ Primary

Addresses

Primary practice location

1278 Yardville Allentown Rd
Allentown, NJ 08501-1866

Mailing address

1278 Yardville Allentown Rd
Allentown, NJ 08501-1866
Phone (609) 738-3143

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
1578830576NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso Physical Therapy and Nutrition, LLC PastSince Dec 28, 2025 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": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1174489785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-738-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-738-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIVENGO",
        "first_name": "HALEY",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "1578830576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.