Individual provider Active NPI

Amanda Renee Kirpitch, MA, RD, CDCES

  • Registered Dietitian
  • Maplewood, NJ
National Provider Identifier
1639367659
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
NONE Issued in NJ
Practice address
1585 Springfield Ave
Maplewood, NJ 07040-2838
Phone
(201) 210-5420
Fax
(201) 586-0313
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 NONE NJ Primary

Addresses

Primary practice location

1585 Springfield Ave
Maplewood, NJ 07040-2838

Mailing address

1585 Springfield Ave Ste 2
Maplewood, NJ 07040-2857
Phone (201) 210-5420

Other practice location 1

1 Springfield Ave Ste 1A
Summit, NJ 07901-4055
Phone (201) 210-5420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111000064 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1153403522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1585 Springfield Ave
Suite 2
Maplewood, NJ 07040-2857
Phone (201) 210-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2658MAMDPsychologist
NONENJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Perspective LLC Dietitian, Registered CurrentSince Jun 6, 2017 Accepting new patients
Joslin Clinic Inc Past Accepting new patients

Locations

121 Newark Ave
Ste 590
Jersey City, NJ 07302

1585 Springfield Ave
Ste 2
Maplewood, NJ 07040
Phone (201) 210-5420

1 Springfield Ave
Ste 1A
Summit, NJ 07901
Phone (201) 210-5420

Organizations & group practices 2

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1639367659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SPRINGFIELD AVE STE 2",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402857",
            "telephone_number": "201-210-5420",
            "fax_number": "201-586-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402838",
            "telephone_number": "201-210-5420",
            "fax_number": "201-586-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Springfield Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079014055",
            "country_code": "US",
            "telephone_number": "201-210-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRPITCH",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "MA, RD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.