JORDAN COLBERG LDN
NPI 1679395164
Dietitian, Registered in York, PA

Q: What is Jordan Colberg's NPI number?

The NPI number for Jordan Colberg is 1679395164. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Q: What is Jordan Colberg's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Colberg was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2024

35 MONUMENT RD STE 202, YORK, PA 17403(717) 851-2722(717) 851-3127 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jordan Colberg Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN COLBERG LDN (NPI 1679395164) is an individual dietitian, registered in York, Pennsylvania and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1679395164

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJORDAN COLBERGCredential: LDN

Location Address35 MONUMENT RD STE 202York, PA 17403-5074

Mailing Address601 Memory LnYork, PA 17402-2231

Phone(717) 851-2722

Fax(717) 851-3127

Sole ProprietorNo

Enumeration DateOctober 28, 2024

Last NPPES UpdateNovember 4, 2024

NPPES CertifiedNovember 4, 2024

✔ NPI 1679395164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

35 MONUMENT RD STE 202, York, PA 17403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Colberg Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jordan Colberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellspan Medical Group

Same address

Urogynecology and Reconstructive Pelvic Surgery

35 MONUMENT RD, SUITE 204
York, PA 17403

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1245641356 (717) 851-2443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMITHRA JEGANATHAN

Obstetrics & Gynecology (Maternal & Fetal Medicine)