AMANDA M MENK (R.D.) – Registered Dietitian, NPI 1821369711
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
375 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in PA
Provider Addresses for AMANDA M MENK (R.D.)
1406 EMERICK ST
PHILADELPHIA, PA 191252613
Phone: (815) 210-5223
Type: Mailing
714 N BETHLEHEM PIKE
SUITE 300
LOWER GWYNEDD, PA 190022655
Phone: (215) 283-2833
Fax: (215) 283-1919
Type: Location
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Type: Mailing
2339 ROUTE 70 W STE 300
CHERRY HILL, NJ 080023315
Phone: (856) 795-3597
Type: Location
714 N Bethlehem Pike
Suite 300
Lower Gwynedd, PA 190022655
Phone: (215) 283-2833
Fax: (215) 283-1919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131113001332 | I | Registered Dietitian Or Nutrition Professional | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| N E U R O L O G Y | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | NJ | |
| Infectious Disease, Internal Medicine | PA |
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