Individual provider Active NPI

Colleen Gerg, RDN

  • Registered Dietitian
  • Bryn Mawr, PA
National Provider Identifier
1437642238
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004713 Issued in PA
Practice address
800 Lafayette Rd
Bryn Mawr, PA 19010-1817
Phone
(202) 497-4202
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 DN004713 PA Primary

Addresses

Primary practice location

800 Lafayette Rd
Bryn Mawr, PA 19010-1817

Mailing address

800 Lafayette Rd
Bryn Mawr, PA 19010-1817
Phone (202) 497-4202

Other identifiers 1

IdentifierTypeStateIssuer
103610679MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000041 PA Practitioner - Registered Dietitian Or Nutrition Professional 4183979875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Diamond Nutrition Counseling, Inc.Group PAC ID 0941637599, 13 clinicians
Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

3 Creek Pkwy
Suite 100
Upper Chichester, PA 19061-3148
Phone (215) 240-7883

300 Brookside Ave
Suite 125
Ambler, PA 19002-3436
Phone (877) 842-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN004713PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Nutrition Counseling, Inc Dietitian, Registered CurrentSince Nov 1, 2024 Accepting new patients
Simplex Health Dietitian, Registered CurrentSince Jun 30, 2020 Accepting new patients
Adrian Chiu, PH.D., PLLC PastSince Dec 1, 2023 Accepting new patients
Colleen Gerg, Ma, RDN Past Accepting new patients

Locations

300 Brookside Ave
Ste 180
Ambler, PA 19002
Phone (484) 450-8488

300 Brookside Ave
Bldg 4
Ambler, PA 19002
Phone (267) 702-4862

233 E Lancaster Ave
Ste 305
Ardmore, PA 19003
Phone (610) 642-6800

800 Walnut St
Fl 17
Philadelphia, PA 19107
Phone (215) 829-3016

3 Creek Pkwy
#100
Upper Chichester, PA 19061
Phone (800) 223-4376

Organizations & group practices 4

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1437642238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 LAFAYETTE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101817",
            "telephone_number": "202-497-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LAFAYETTE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101817",
            "telephone_number": "202-497-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERG",
        "first_name": "COLLEEN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN004713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103610679",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.