NPIMap

Organization Active NPI

Proactive Nutrition Services LLC

  • Registered Dietitian
  • West New York, NJ
National Provider Identifier
1780177956
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Shweta RawalNPI 1427573690
Title
Rd/Owner
Phone
(551) 666-8043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

367 Oswego CT
West New York, NJ 07093-8315

Mailing address

367 Oswego CT
West New York, NJ 07093-8315

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in West New York, NJ

Sources for this page

  • 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.