Shed Dietitian PC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

SHED DIETITIAN PC

Practice address

270 Sylvan Ave Ste 2260
Englewood Cliffs, NJ 07632-2523

Phone

(516) 492-4578

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Nehal Patel

Title

Member

Phone

(516) 492-4578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1457043911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SYLVAN AVE STE 2260",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322523",
            "telephone_number": "516-492-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHED DIETITIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEHAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-492-4578"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Nutritionist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.