Organization Active NPI

SHS Nutrition, LLC

  • Registered Dietitian
  • Piscataway, NJ
National Provider Identifier
1164735882
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00954704 Issued in NJ
Legal business name
SHS NUTRITION, LLC
Practice address
24 Stelton Rd
Piscataway, NJ 08854-2639
Phone
(732) 395-1282
NPI assigned
Jul 22, 2010
Last updated
Nov 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Sara Shama, R.D.NPI 1861553638
Title
Owner
Phone
(732) 395-1282

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00954704 NJ Primary

Addresses

Primary practice location

24 Stelton Rd
Piscataway, NJ 08854-2639

Mailing address

15 Edward Ave
Monroe, NJ 08831-8524
Phone (732) 395-1282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000410 NJ Part B Supplier - Clinic/Group Practice 1456534890 Receives reassigned benefits from 2 practitioners
Practice locations: Piscataway, NJ

National Provider Directory

National Provider Directory

Locations

24 Stelton Rd
Piscataway, NJ 08854
Phone (732) 395-1282

24 Stelton Rd
Ste D
Piscataway, NJ 08854
Phone (732) 395-1282

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1164735882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EDWARD AVE",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088318524",
            "telephone_number": "732-395-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-395-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAMA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-395-1282",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "00954704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.