Individual provider Active NPI

Danielle Shargorodsky, R.D.

  • Registered Dietitian
  • Somerset, NJ
National Provider Identifier
1356746218
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
965454 Issued in MA
Practice address
51 Veronica Ave
Somerset, NJ 08873-3448
Phone
(516) 784-6996
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 965454 MA Primary

Addresses

Primary practice location

51 Veronica Ave
Somerset, NJ 08873-3448

Mailing address

51 Veronica Ave
Somerset, NJ 08873-3448
Phone (516) 784-6996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215000439 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5799007142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
965454MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Vascular Center of New Brunswick LLC Dietitian, Registered CurrentSince Nov 5, 2014 Accepting new patients
Heart & Vascular Center of New Brunswick LLC CurrentSince Nov 5, 2014 Accepting new patients

Locations

283 Applegarth Rd
Monroe Twp, NJ 08831
Phone (609) 655-1046

51 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-1311

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1356746218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "516-784-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 VERONICA AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733448",
            "telephone_number": "516-784-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARGORODSKY",
        "first_name": "DANIELLE",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "965454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.