Individual provider Active NPI

Kelsey Joan Gmitter, RD

  • Registered Dietitian
  • Allentown, NJ
National Provider Identifier
1730988429
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86378372 Issued in NJ
Practice address
1278 Yardville Allentown Rd
Allentown, NJ 08501-1866
Phone
(609) 738-3143
NPI assigned
Mar 13, 2025
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 86378372 NJ Primary

Addresses

Primary practice location

1278 Yardville Allentown Rd
Allentown, NJ 08501-1866

Mailing address

17 Noa CT
Hamilton, NJ 08690-3643
Phone (609) 477-2342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001417 NJ Practitioner - Registered Dietitian Or Nutrition Professional 4688197221 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86378372NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso Physical Therapy and Nutrition, LLC CurrentSince Mar 17, 2025 Accepting new patients
Ipta Clinical, LLC CurrentSince Mar 17, 2025 Accepting new patients
3 Dimensional Physical Therapy - Pelvic Health LLC PastSince Feb 23, 2025 Accepting new patients

Locations

1278 Yardville Allentown Rd
Allentown, NJ 08501
Phone (609) 584-9594

1278 Yardville Allentown Rd
Ste 3
Allentown, NJ 08501
Phone (609) 738-3143

175 Route 70
Ste 19
Medford, NJ 08055
Phone (609) 257-3750

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": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1730988429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NOA CT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903643",
            "telephone_number": "609-477-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-738-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GMITTER",
        "first_name": "KELSEY",
        "middle_name": "JOAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86378372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.