SUMMER BUTLER RD
NPI 1740526078
Dietitian, Registered in Hoboken, NJ

Active since December 13, 2012Accepts Medicare Assignment
308 WILLOW AVE, DIETARY DEPARTMENT 1ST FLOOR, HOBOKEN, NJ 07030(201) 418-1135 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summer Butler Rd NPPES

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

SUMMER BUTLER RD (NPI 1740526078) is an individual dietitian, registered in Hoboken, New Jersey and active in the NPI registry since December 2012. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1740526078
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUMMER BUTLERCredential: RD
Location Address308 WILLOW AVE, DIETARY DEPARTMENT 1ST FLOORHoboken, NJ 07030-3808
Mailing Address5466 Post Rd Apt 3Bronx, NY 10471-2607
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 13, 2012
✔ NPI 1740526078 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.
308 WILLOW AVE, Hoboken, NJ 07030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Summer Butler Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850886912
PECOS Enrollment IDI20251217000444

Medicare Billing Reassignment

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

Nutritionist
1662 47TH ST
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
308 WILLOW AVE
HOBOKEN, NJ 07030
Student in an Organized Health Care Education/Training Program
308 WILLOW AVE
HOBOKEN, NJ 07030
Dietitian, Registered
308 WILLOW AVE
HOBOKEN, NJ 07030
Pharmacy (Community/Retail Pharmacy)
308 WILLOW AVE
HOBOKEN, NJ 07030
Registered Nurse (Emergency)
308 WILLOW AVE
HOBOKEN, NJ 07030
Emergency Medicine
308 WILLOW AVE
HOBOKEN, NJ 07030
Psychiatry & Neurology (Child & Adolescent Psychiatry)
308 WILLOW AVE
HOBOKEN, NJ 07030
General Acute Care Hospital
308 WILLOW AVE
HOBOKEN, NJ 07030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summer Butler's NPI number?

The NPI number for Summer Butler is 1740526078. It was assigned to this individual provider in the NPPES registry on December 13, 2012.

Where is Summer Butler located?

Summer Butler practices at 308 Willow Ave Dietary Department 1st Floor, Hoboken, NJ 07030. The listed phone number is (201) 418-1135.

What is Summer Butler's specialty?

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

Is Summer Butler enrolled in Medicare?

Yes. Summer Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Summer Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summer Butler reassigns Medicare benefits to Boro Park Nutrition, LLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Summer Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Summer Butler was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.