Active NPI
Shirom Spa & Wellness LLC
- Nutritionist
- West Windsor, NJ
National Provider Identifier
1245798149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- SHIROM SPA & WELLNESS LLC
- Practice address
- 2025 Old Trenton Rd Ste 10
West Windsor, NJ 08550-2412 - Phone
- (609) 301-8664
- NPI assigned
- Mar 9, 2019
- 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
- Sumbul Rizvi, CE
- Title
- President
- Phone
- (609) 301-8664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
2025 Old Trenton Rd Ste 10
West Windsor, NJ 08550-2412
Mailing address
2025 Old Trenton Rd Ste 10
West Windsor, NJ 08550-2412
Phone (609) 301-8664
Other names 1
- Spa Shirom
National Provider Directory
National Provider DirectoryLocations
2025 Old Trenton Rd
Ste 10
West Windsor, NJ 08550
Phone (609) 301-8664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552089600000",
"number": "1245798149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 OLD TRENTON RD STE 10",
"city": "WEST WINDSOR",
"state": "NJ",
"postal_code": "085502412",
"telephone_number": "609-301-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 OLD TRENTON RD STE 10",
"city": "WEST WINDSOR",
"state": "NJ",
"postal_code": "085502412",
"telephone_number": "609-301-8664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIROM SPA & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-09",
"last_updated": "2019-03-09",
"status": "A",
"authorized_official_last_name": "RIZVI",
"authorized_official_first_name": "SUMBUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-301-8664",
"authorized_official_credential": "CE"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spa Shirom",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in West 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, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.