Individual provider Active NPI

Matthew Butera

  • Registered Dietitian
  • Tinton Falls, NJ
National Provider Identifier
1649922071
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86103423 Issued in NJ
Practice address
65 Kyle Dr
Tinton Falls, NJ 07712-7535
Phone
(973) 214-3580
Fax
(848) 339-7226
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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 86103423 NJ 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) 224-2678

Other practice location 1

716 Broad St Ste 2E
Clifton, NJ 07013-1645
Phone (973) 810-1533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605001058 NJ Practitioner - Registered Dietitian Or Nutrition Professional 1759890254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Butera & Associates Dietitian, Registered CurrentSince Apr 17, 2025 Accepting new patients
RDN Nutrition Counseling LLC Dietitian, Registered PastSince Feb 1, 2022 Accepting new patients

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1649922071",
    "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": "973-224-2678"
        },
        {
            "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",
            "fax_number": "848-339-7226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 Broad St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131645",
            "country_code": "US",
            "telephone_number": "973-810-1533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86103423",
            "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 May 16, 2025; 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.