Organization Active NPI

Butera & Associates

  • Registered Dietitian
  • Tinton Falls, NJ
National Provider Identifier
1518796143
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
BUTERA & ASSOCIATES
Practice address
65 Kyle Dr
Tinton Falls, NJ 07712-7535
Phone
(973) 214-3580
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mattew Butera, RD
Title
Owner
Phone
(973) 214-3580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

65 Kyle Dr
Tinton Falls, NJ 07712-7535

Mailing address

65 Kyle Dr
Tinton Falls, NJ 07712-7535
Phone (973) 214-3580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605000865 NJ Part B Supplier - Clinic/Group Practice 0840709341 Receives reassigned benefits from 1 practitioner
Practice locations: Tinton Falls, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1518796143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 KYLE DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127535",
            "telephone_number": "973-214-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 KYLE DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077127535",
            "telephone_number": "973-214-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTERA & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BUTERA",
        "authorized_official_first_name": "MATTEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-214-3580",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.

Verify at the official NPI Registry.