Individual provider Active NPI

Cesira Boni

  • Nutrition Education Nutritionist
  • Wayne, NJ
National Provider Identifier
1669006607
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
87 Berdan Ave Ste 4
Wayne, NJ 07470-3210
Phone
(973) 692-9780
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

87 Berdan Ave Ste 4
Wayne, NJ 07470-3210

Mailing address

87 Berdan Ave Ste 4
Wayne, NJ 07470-3210
Phone (973) 692-9780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novalab Corp CurrentSince Sep 1, 2022 Accepting new patients
Xbody Health & Wellness PA PastSince Mar 1, 2020 Accepting new patients

Locations

87 Berdan Ave
Ste 4
Wayne, NJ 07470
Phone (973) 692-9780

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1669006607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE STE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BERDAN AVE STE 4",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703210",
            "telephone_number": "973-692-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONI",
        "first_name": "CESIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.