Organization Active NPI

Shirom Spa & Wellness LLC

  • Nutritionist
  • West Windsor, NJ
National Provider Identifier
1245798149
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
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

Updated by the provider on Mar 9, 2019

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)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.