Shed Certified Dietitian- Nutrition PLLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

SHED CERTIFIED DIETITIAN- NUTRITION PLLC

Practice address

2733 E 12TH St FL 2
Brooklyn, NY 11235-4669

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

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1477245926",
    "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",
            "telephone_number": "516-492-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354669",
            "telephone_number": "516-492-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHED CERTIFIED DIETITIAN- NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "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": []
}

• Jeremy Sheard
• Salisha Shears
• Adam Philip Shechter
• Marina Shechtman
• Thomas Edward Sheckler
• Justin Shedrofsky, PT, DPT
• Mordechai M Shedrowitzky, PT
• Brian Shee, D.O.
• Ariel Sheeger
• Ann L Sheehan, LCSW

• Nutritionist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nutritionist in New York

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