Individual provider Active NPI

Robyn Ziemba

  • Nutrition Education Nutritionist
  • Beverly, MA
National Provider Identifier
1194343616
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1056072 Issued in IL
Practice address
900 Cummings Ctr Ste 404U
Beverly, MA 01915-6177
Phone
(201) 694-9133
NPI assigned
Jul 10, 2020
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1056072 IL Primary

Addresses

Primary practice location

900 Cummings Ctr Ste 404U
Beverly, MA 01915-6177

Mailing address

236 Birchwood Rd
Old Tappan, NJ 07675-6830
Phone (201) 694-9133

Other practice location 1

61 Adams Dr
Cresskill, NJ 07626-1727
Phone (201) 694-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007735NYMDMental Health Counselor
1056072ILMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Fig Health, Inc. CurrentSince Feb 12, 2023 Accepting new patients

Locations

900 Cummings Ctr
Ste 404U
Beverly, MA 01915
Phone (201) 694-9133

33-41 Newark St
Fl 5
Hoboken, NJ 07030
Phone (917) 647-1665

720 Monroe St
Ste E512
Hoboken, NJ 07030
Phone (917) 647-1557

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1194343616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BIRCHWOOD RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756830",
            "telephone_number": "201-694-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 404U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156177",
            "telephone_number": "201-694-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Adams Dr",
            "address_purpose": "LOCATION",
            "city": "Cresskill",
            "state": "NJ",
            "postal_code": "076261727",
            "country_code": "US",
            "telephone_number": "201-694-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEMBA",
        "first_name": "ROBYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "1056072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.