Active NPI
Weight and Wellness Clinic LLC
- Obesity Medicine (Internal Medicine) Physician
- East Windsor, NJ
National Provider Identifier
1003563990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yingzi Deng, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | Primary | ||
| Pediatric Obesity Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pennington, NJ
- NPI 1346689403
NJ, Obesity Medicine
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.