Organization Active NPI

Meira Waldman Rd LLC

  • Nutritionist
  • Lakewood, NJ
National Provider Identifier
1699223750
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
MEIRA WALDMAN RD LLC
Practice address
205 Wynatt Street
Lakewood, NJ 08701-4839
Phone
(732) 534-0610
Fax
(848) 373-9499
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mrs. Meira Raizel Waldman, RDNPI 1356758007
Title
KP Owner
Phone
(732) 534-0610

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

205 Wynatt Street
Lakewood, NJ 08701-4839

Mailing address

205 Wynatt Street
Lakewood, NJ 08701-4839
Phone (732) 534-0610

Other identifiers 1

IdentifierTypeStateIssuer
1699223750MedicaidNJ

Other names 1

  • The Meira Waldman Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1699223750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WYNATT STREET",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014839",
            "telephone_number": "732-534-0610",
            "fax_number": "848-373-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WYNATT STREET",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014839",
            "telephone_number": "732-534-0610",
            "fax_number": "848-373-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIRA WALDMAN RD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "MEIRA",
        "authorized_official_middle_name": "RAIZEL",
        "authorized_official_title_or_position": "KP OWNER",
        "authorized_official_telephone_number": "732-534-0610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699223750",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meira Waldman Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.