Active NPI
Samantha Eckardt, RD
- Registered Dietitian
- Pennington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006474
- Practice address
- 2 Capital Way Ste 356
Pennington, NJ 08534-2521 - Phone
- (609) 537-6000
- Fax
- (609) 537-6002
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | DN006474 | PA | Primary |
| Registered Dietitian | 133V00000X |
Addresses
Primary practice location
2 Capital Way Ste 356
Pennington, NJ 08534-2521
Mailing address
211 S 9TH St
Ste 402
Philadelphia, PA 19107-6810
Phone (215) 955-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
211 S 9TH St
Suite 402
Philadelphia, PA 19107-6810
Phone (215) 955-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Multi-Specialty | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
211 S 9th St
Ste 402
Philadelphia, PA 19107
Phone (215) 955-0019
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Multi-Specialty
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1902306434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S 9TH ST",
"address_2": "STE 402",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076810",
"telephone_number": "215-955-0020",
"fax_number": "215-503-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CAPITAL WAY STE 356",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342521",
"telephone_number": "609-537-6000",
"fax_number": "609-537-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKARDT",
"first_name": "SAMANTHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006474",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.