Individual provider Active NPI

Michele Berger, RDN

  • Registered Dietitian
  • Jamesburg, NJ
National Provider Identifier
1548274186
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
15 East Railroad Avenue
Suite a
Jamesburg, NJ 08831-1375
Phone
(732) 966-0130
Fax
(732) 656-1742
NPI assigned
Jul 28, 2006
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 NJ Primary

Addresses

Primary practice location

15 East Railroad Avenue
Suite a
Jamesburg, NJ 08831-1375

Mailing address

10 Woodland Cir
Manalapan, NJ 07726-3204
Phone (732) 851-5882

Other identifiers 1

IdentifierTypeStateIssuer
51-0559953OtherNJTAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000450 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1456352129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 E Railroad Ave
Suite a
Jamesburg, NJ 08831-1465
Phone (732) 966-0130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Solutions LLC Dietitian, Registered CurrentSince Aug 13, 2007 Accepting new patients
Innovative Wellness Center PC Past Accepting new patients
Centrastate Medical Center Inc. Past Accepting new patients

Locations

15 E Railroad Ave
Ste A
Jamesburg, NJ 08831
Phone (732) 966-0130

220 Forsgate Dr
Jamesburg, NJ 08831
Phone (732) 656-1740

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1548274186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND CIR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263204",
            "telephone_number": "732-851-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST RAILROAD AVENUE",
            "address_2": "SUITE A",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311375",
            "telephone_number": "732-966-0130",
            "fax_number": "732-656-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MICHELE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-02-05",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "51-0559953",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.