Active NPI
Wendy Williams, RD
- Registered Dietitian
- Iselin, NJ
National Provider Identifier
1447462452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00957103
- Practice address
- 530 Green St
Iselin, NJ 08830-2638 - Phone
- (732) 283-1900
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 00957103 | NJ | Primary |
Addresses
Primary practice location
530 Green St
Iselin, NJ 08830-2638
Mailing address
20 Thistle LN
Warren, NJ 07059-5564
Phone (908) 903-1670
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00957103 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Eating Company LLC | Dietitian, Registered | Past | Accepting new patients |
| Kingley Health Services NJ LLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Iselin, NJ
- NPI 1538497516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447462452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 THISTLE LN",
"city": "WARREN",
"state": "NJ",
"postal_code": "070595564",
"telephone_number": "908-903-1670",
"fax_number": "908-903-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 GREEN ST",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088302638",
"telephone_number": "732-283-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WENDY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "00957103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.