Proactive Nutrition Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PROACTIVE NUTRITION SERVICES LLC

Practice address

367 Oswego CT
West New York, NJ 07093-8315

Phone

(551) 666-8043

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Shweta Rawal

Title

Rd/Owner

Phone

(551) 666-8043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1780177956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 OSWEGO CT",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 OSWEGO CT",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938315",
            "telephone_number": "551-666-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "SHWETA",
        "authorized_official_title_or_position": "RD/OWNER",
        "authorized_official_telephone_number": "551-666-8043"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in West New York, NJ
• Providers in West New York, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.