Active NPI
Amy Dahl, RD
- Registered Dietitian
- River Vale, NJ
National Provider Identifier
1447971007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010980
- Practice address
- 608 Abbe CT
River Vale, NJ 07675-6483 - Phone
- (201) 970-7573
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- 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 | 010980 | NY | Primary |
Addresses
Primary practice location
608 Abbe CT
River Vale, NJ 07675-6483
Mailing address
608 Abbe CT
River Vale, NJ 07675-6483
Phone (201) 970-7573
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010980 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eating Disorder Medical Nutrition Therapy | Dietitian, Registered | Current | Accepting new patients |
| Fig Health, Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Old Tappan, NJ
- NPI 1720919053
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1447971007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 ABBE CT",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "076756483",
"telephone_number": "201-970-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 ABBE CT",
"city": "RIVER VALE",
"state": "NJ",
"postal_code": "076756483",
"telephone_number": "201-970-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "AMY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Vale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.