Active NPI
Amanda Cathleen Bombay, RD
- Registered Dietitian
- Haddon Township, NJ
National Provider Identifier
1497373674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 416 Stratford Ave
Haddon Township, NJ 08108-2211 - Phone
- (571) 233-9954
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
416 Stratford Ave
Haddon Township, NJ 08108-2211
Mailing address
416 Stratford Ave
Haddon Township, NJ 08108-2211
Phone (571) 233-9954
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 5712339954 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1497373674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 STRATFORD AVE",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081082211",
"telephone_number": "571-233-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 STRATFORD AVE",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081082211",
"telephone_number": "571-233-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMBAY",
"first_name": "AMANDA",
"middle_name": "CATHLEEN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "5712339954",
"affiliation": "N",
"address_1": "416 Stratford Ave",
"city": "Haddon Township",
"state": "NJ",
"country_code": "US",
"postal_code": "081082211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Haddon Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.