Barbara D Broadt, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

305 Medical Group 3458 Neely Road
McGuire AFB, NJ 08641

Phone

(609) 754-2462

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336234285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MANASQUAN RD",
            "city": "WARETOWN",
            "state": "NJ",
            "postal_code": "087582663",
            "telephone_number": "609-971-2758",
            "fax_number": "609-971-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEDICAL GROUP 3458 NEELY ROAD",
            "city": "MCGUIRE AFB",
            "state": "NJ",
            "postal_code": "08641",
            "telephone_number": "609-754-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADT",
        "first_name": "BARBARA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ammentorp, DO
• Jess Barrows, LCSW, LCADC
• Jennifer Bench, R.D.H.
• Kimberley Dawn Bock Tabor, IDMT
• Stacey Keane Boden, LICSW
• Deon Bullard, MSW, LCSW
• Gregory B Canney, DMD
• Daniel Castiglia, R.PH.
• Frank Casty, MD
• Gia Chawala

• Registered Dietitian in McGuire AFB, NJ
• Providers in McGuire AFB, 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 Jul 8, 2007; 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.