NPIMap

Organization Active NPI

Sid III,LLC

Doing business as Future Fitness Centers

  • Registered Dietitian
  • West Berlin, NJ
National Provider Identifier
1508317801
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN005313 Issued in PA
Legal business name
SID III,LLC
Doing business as
Future Fitness Centers
Practice address
545 N Route 73
West Berlin, NJ 08091-9242
Phone
(856) 753-1800
Fax
(856) 753-6200
NPI assigned
Oct 21, 2016
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Beryl F Krinsky, RDN, LDNNPI 1700201274
Title
Registered Dietitian
Phone
(215) 764-9651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DN005313 PA Primary

Addresses

Primary practice location

545 N Route 73
West Berlin, NJ 08091-9242

Mailing address

P.O. Box 18
West Berlin, NJ 08091
Phone (856) 753-1800

Other names 1

  • Future Fitness Centers Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1508317801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "08091",
            "telephone_number": "856-753-1800",
            "fax_number": "856-753-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919242",
            "telephone_number": "856-753-1800",
            "fax_number": "856-753-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SID III,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "KRINSKY",
        "authorized_official_first_name": "BERYL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "215-764-9651",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Future Fitness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.