Individual provider Active NPI

David Sonenberg, MS, RD, CDE

  • Registered Dietitian
  • East Orange, NJ
National Provider Identifier
1841893518
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
60 Evergreen PL Ste 400
East Orange, NJ 07018-2120
Phone
(973) 395-1550
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 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

60 Evergreen PL Ste 400
East Orange, NJ 07018-2120

Mailing address

60 Evergreen PL Ste 400
East Orange, NJ 07018-2120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203001855 NJ Practitioner - Registered Dietitian Or Nutrition Professional 3072924679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Jul 28, 2024 Accepting new patients
The Heart Center of the Oranges CurrentSince Nov 15, 2020 Accepting new patients

Locations

135 Bloomfield Ave
Ste B
Bloomfield, NJ 07003
Phone (973) 743-2248

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1841893518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182120",
            "telephone_number": "973-395-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONENBERG",
        "first_name": "DAVID",
        "credential": "MS, RD, CDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.