Active NPI
Danielle Burge, RD, LDN
- Registered Dietitian
- Jenkintown, PA
National Provider Identifier
1508142696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004701
- Practice address
- 501 York Rd Ste 4
Jenkintown, PA 19046-2142 - Phone
- (610) 331-5439
- NPI assigned
- Nov 2, 2011
- 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 | DN004701 | PA | Primary |
Addresses
Primary practice location
501 York Rd Ste 4
Jenkintown, PA 19046-2142
Mailing address
501 York Rd Ste 4
Jenkintown, PA 19046-2142
Phone (610) 331-5439
Other practice location 1
3600 Grant Ave
Philadelphia, PA 19114-2630
Phone (215) 677-0400
Other practice location 2
2835 Tyson Ave
Philadelphia, PA 19149-1415
Phone (215) 624-6162
Other names 1
- Danielle Dimarco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518000870 | PA | Practitioner - Registered Dietitian Or Nutrition Professional | 7911227897 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004701 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Here for Health, LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Oasis Interventional Spine Care, LLC | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Blue Bell, PA
- NPI 1447634050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1508142696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 YORK RD STE 4",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462142",
"telephone_number": "610-331-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 YORK RD STE 4",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462142",
"telephone_number": "610-331-5439"
}
],
"practiceLocations": [
{
"address_1": "3600 Grant Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191142630",
"country_code": "US",
"telephone_number": "215-677-0400",
"fax_number": "215-671-1837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2835 Tyson Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191491415",
"country_code": "US",
"telephone_number": "215-624-6162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGE",
"first_name": "DANIELLE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "DIMARCO",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.