Individual provider Active NPI

Cynthia L Lopez-Pettorino, RDN, CDCES

  • Registered Dietitian
  • Rockaway, NJ
National Provider Identifier
1376849117
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
848821 Issued in NJ
Practice address
100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129
Phone
(973) 206-2130
Fax
(973) 385-1650
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 848821 NJ Primary

Addresses

Primary practice location

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Mailing address

Roxbury Mall 275 Route 10 East,
Suite 220 (PMB#181)
Succasunna, NJ 07876
Phone (973) 206-2130

Other practice location 1

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-3344

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

LicenseStateTypeSpecialty
848821NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center,Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1376849117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROXBURY MALL 275 ROUTE 10 EAST,",
            "address_2": "SUITE 220 (PMB#181)",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-206-2130",
            "fax_number": "973-385-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE DR STE 301",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662129",
            "telephone_number": "973-206-2130",
            "fax_number": "973-385-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 W Blackwell St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NJ",
            "postal_code": "078013841",
            "country_code": "US",
            "telephone_number": "973-328-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-PETTORINO",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "848821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.