Organization Active NPI

Weight and Wellness Clinic LLC

  • Obesity Medicine (Internal Medicine) Physician
  • East Windsor, NJ
National Provider Identifier
1003563990
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
WEIGHT AND WELLNESS CLINIC LLC
Practice address
339 Princeton Hightstown Rd BLDG C
East Windsor, NJ 08512-2901
Phone
(609) 269-5441
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yingzi Deng, MDNPI 1346689403
Title
Owner
Phone
(848) 565-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X Primary
Pediatric Obesity Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080B0002X

Addresses

Primary practice location

339 Princeton Hightstown Rd BLDG C
East Windsor, NJ 08512-2901

Mailing address

PO Box 521
Princeton Junction, NJ 08550-0521

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108002275 NJ Part B Supplier - Clinic/Group Practice 0749657542 Receives reassigned benefits from 1 practitioner
Practice locations: East Windsor, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1003563990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085500521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 PRINCETON HIGHTSTOWN RD BLDG C",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085122901",
            "telephone_number": "609-269-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIGHT AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "DENG",
        "authorized_official_first_name": "YINGZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-565-5345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "339 Princeton Hightstown Rd Bldg C",
            "city": "East Windsor",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085122901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.