Provider Demographics
NPI:1922982198
Name:COGEN-GOLDBERG, CINDY (RD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:COGEN-GOLDBERG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1754 FIRESIDE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3238
Mailing Address - Country:US
Mailing Address - Phone:215-435-1002
Mailing Address - Fax:
Practice Address - Street 1:1754 FIRESIDE LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3238
Practice Address - Country:US
Practice Address - Phone:215-435-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001915133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered