Organization Active NPI

Reveal Weight Loss

  • Gastroenterology Physician
  • Livingston, NJ
National Provider Identifier
1407554637
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
REVEAL WEIGHT LOSS
Practice address
290 S Livingston Ave Ste 2
Livingston, NJ 07039-3986
Phone
(973) 629-7538
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Dr. Haroon Shahid, MDNPI 1659697290
Title
Co-Owner
Phone
(973) 629-7534

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

290 S Livingston Ave Ste 2
Livingston, NJ 07039-3986

Mailing address

290 S Livingston Ave Ste 2
Livingston, NJ 07039-3986
Phone (973) 629-7534

National Provider Directory

National Provider Directory

Locations

290 S Livingston Ave
Ste 2
Livingston, NJ 07039
Phone (973) 629-7534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1407554637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 2",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "973-629-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE STE 2",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393986",
            "telephone_number": "973-629-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEAL WEIGHT LOSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-629-7534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.