Elizabeth Backer Amisson, MS, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

948579 Issued in NJ

Practice address

53 S Main Street, 3F
Medford, NJ 08055-2442

Phone

(609) 726-1407

Fax

(973) 270-3680

NPI assigned

Nov 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elizabeth Backer Melick Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1598092389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BIRMINGHAM RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681325",
            "telephone_number": "973-270-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S MAIN STREET, 3F",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552442",
            "telephone_number": "609-726-1407",
            "fax_number": "973-270-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISSON",
        "first_name": "ELIZABETH",
        "middle_name": "BACKER",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "948579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MELICK",
            "middle_name": "BACKER",
            "prefix": "MRS.",
            "credential": "MS, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elpi Niki Altum, PT
• Rianna M Alvarado, AA, RBT CERT
• Ambrosia of Medford LLC (Pinelands Recovery Center of Medford)
• Ambrosia of Medford LLC (Pinelands Recovery Center of Medford)
• Ambrosia of New Jersey LLC (Pinelands Recovery Center of Medford)
• Meaghan Marie Andre-Brown, D.O.
• Justin Andronico
• Jessica Kristi Angelone
• Barbara Scaff Angstadt, MSW
• Lauren Antunes

• Registered Dietitian in Medford, NJ
• Providers in Medford, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.