Individual provider Active NPI

Charlotte B Genetta, RD

  • Registered Dietitian
  • Moorestown, NJ
National Provider Identifier
1629031703
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
401 Young Ave Ste 305a
Moorestown, NJ 08057-3133
Phone
(856) 291-8660
Fax
(856) 291-8661
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 Primary

Addresses

Primary practice location

401 Young Ave Ste 305a
Moorestown, NJ 08057-3133

Mailing address

835 Edgepark Dr
Haddonfield, NJ 08033-1021
Phone (856) 795-0727

Other practice location 1

18 Laurel Rd E
Stratford, NJ 08084-1327
Phone (856) 346-6012

Other practice location 2

106 Carnie Blvd
Voorhees, NJ 08043-4515
Phone (856) 325-4270

Other practice location 3

2309 E Evesham Rd Ste 101C
Voorhees, NJ 08043-1559
Phone (856) 325-4270

Other practice location 4

1000 Atlantic Ave Fl 1
Camden, NJ 08104-1132
Phone (856) 246-3538

Other practice location 5

239 Hurffville Crosskeys Rd Ste 365A
Sewell, NJ 08080-4002
Phone (856) 341-8250

Other names 1

  • Charlotte F Berger Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address cgenetta13441@directvirtua.org
Direct Messaging Address cgenetta13441@directvirtua.org
Direct Messaging Address cgenetta13441@directvirtua.org
Direct Messaging Address cgenetta13441@directvirtua.org

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sodexo Operations LLC Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgenetta13441@directvirtua.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1629031703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 EDGEPARK DR",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331021",
            "telephone_number": "856-795-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 305A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573133",
            "telephone_number": "856-291-8660",
            "fax_number": "856-291-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Laurel Rd E",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-346-6012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Carnie Blvd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434515",
            "country_code": "US",
            "telephone_number": "856-325-4270",
            "fax_number": "856-325-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2309 E Evesham Rd Ste 101C",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431559",
            "country_code": "US",
            "telephone_number": "856-325-4270",
            "fax_number": "856-325-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Atlantic Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081041132",
            "country_code": "US",
            "telephone_number": "856-246-3538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 365A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-341-8250",
            "fax_number": "856-341-8251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENETTA",
        "first_name": "CHARLOTTE",
        "middle_name": "B",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgenetta13441@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Fl 1",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgenetta13441@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 305A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgenetta13441@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd Ste 101C",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgenetta13441@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 365A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "BERGER",
            "middle_name": "F",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.