Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenica Caporusso, RD

Individual provider Registered Dietitian · NPI 1104562990

Domenica Caporusso, RD is a Registered Dietitian OR Nutrition Professional in Sewell, New Jersey. Qualified in 2016, 10 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

239 Hurffville Crosskeys Rd Ste 360B
Sewell, NJ 08080-4002
Phone: (856) 341-8250
Fax: (856) 341-8251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Bowman Dr Ste E385d, Voorhees, NJ 08043-9623 — (856) 341-8250

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1104562990
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedMay 5, 2022
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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