Weinstock Nutrition LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

WEINSTOCK NUTRITION LLC

Practice address

2115 Millburn Ave Ste 101
Maplewood, NJ 07040-3714

Phone

(973) 477-6985

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

Shelley Weinstock, PHD, CNSNPI 1235435538

Title

Owner

Phone

(973) 477-6985

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Beth Weinstock, PHD, CNS

  • Nutritionist
  • Maplewood, NJ
  • NPI 1235435538
  NPD (past) Authorized official

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1649647843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE STE 101",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403714",
            "telephone_number": "973-477-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE STE 101",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403714",
            "telephone_number": "973-477-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINSTOCK NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-477-6985",
        "authorized_official_credential": "PHD, CNS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marven H Wallen, M.D.
• Wanda Myers, LLC
• Wayne S. and Maureen P Tillman LLC
• Wecare Medical Specialty Group
• Wecare Medical Specialty Group
• Shelley Beth Weinstock, PHD, CNS
• Linda S. Werbel, MSW, LCSW, ASCW
• Spring W Wesley, PHD
• Lori Anne Westrick, RN
• Latonya White, LPC

• Exclusive Provider Organization in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.