Active NPI
Amanda M Menk, R.D.
- Registered Dietitian
- Cherry Hill, NJ
National Provider Identifier
1821369711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1032666
- Practice address
- 2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315 - Phone
- (856) 795-3597
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN004520 | PA | |
| Registered Dietitian | 133V00000X | 1032666 | NJ | Primary |
Addresses
Primary practice location
2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
714 N Bethlehem Pike
Suite 300
Lower Gwynedd, PA 19002-2655
Phone (215) 283-2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2339 Route 70 W
FL 3
Cherry Hill, NJ 08002-3315
Phone (856) 795-3597
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032666 | NJ | MD | Registered Dietitian |
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.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1821369711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 ROUTE 70 W STE 300",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080023315",
"telephone_number": "856-795-3597"
}
],
"practiceLocations": [
{
"address_1": "714 N Bethlehem Pike",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Lower Gwynedd",
"state": "PA",
"postal_code": "190022655",
"country_code": "US",
"telephone_number": "215-283-2833",
"fax_number": "215-283-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENK",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004520",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "1032666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.