Organization Active NPI

Premier Nutrition Services, Inc.

  • Registered Dietitian
  • West Windsor, NJ
National Provider Identifier
1639488042
Registry record updated Oct 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PREMIER NUTRITION SERVICES, INC.
Practice address
2 Hunt CT
West Windsor, NJ 08550-3008
Phone
(609) 712-1040
NPI assigned
Oct 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2010

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

Authorized official

Name
Alka Sheth, R.D.NPI 1598061731
Title
Registered Dietitian
Phone
(609) 712-1040

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2 Hunt CT
West Windsor, NJ 08550-3008

Mailing address

2 Hunt CT
West Windsor, NJ 08550-3008
Phone (609) 712-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110308000296 NJ Part B Supplier - Clinic/Group Practice 3678755949 Receives reassigned benefits from 1 practitioner
Practice locations: West Windsor, NJ

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.

NPI Registry JSON

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

{
    "created_epoch": "1286064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286064000000",
    "number": "1639488042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HUNT CT",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503008",
            "telephone_number": "609-712-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HUNT CT",
            "city": "WEST WINDSOR",
            "state": "NJ",
            "postal_code": "085503008",
            "telephone_number": "609-712-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NUTRITION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-03",
        "last_updated": "2010-10-03",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "ALKA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "609-712-1040",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.