Individual provider Active NPI

Sara Shama, RD

  • Registered Dietitian
  • Piscataway, NJ
National Provider Identifier
1861553638
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
954704 Issued in NJ
Practice address
24 Stelton Rd
Piscataway, NJ 08854-2639
Phone
(732) 395-1282
Fax
(732) 658-6392
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 954704 NJ Primary

Addresses

Primary practice location

24 Stelton Rd
Piscataway, NJ 08854-2639

Mailing address

24 Stelton Rd
Piscataway, NJ 08854-2639
Phone (732) 395-1282

Other identifiers 6

IdentifierTypeStateIssuer
200397267OtherNJHORIZON BCBS-NJ
7654551OtherNJAETNA
200397267OtherNJCIGNA
P3699965OtherNJOXFORD
2634157OtherNJUNITED HEALTHCARE
P3686480OtherNJOXFORD

Other names 1

  • Sara Halim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000229 NJ Practitioner - Registered Dietitian Or Nutrition Professional 5991803538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SHS Nutrition, LLCGroup PAC ID 1456534890, 2 clinicians

Practice addresses (Care Compare)

24 Stelton Rd
Piscataway
Piscataway, NJ 08854-2639
Phone (732) 395-1282

24 Stelton Rd a
Piscataway, NJ 08854-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SHS Nutrition, LLC Dietitian, Registered CurrentSince May 9, 2010 Accepting new patients
Kingley Health Services NJ LLC Past Accepting new patients

Locations

24 Stelton Rd
Piscataway, NJ 08854
Phone (732) 395-1282

24 Stelton Rd
Ste A
Piscataway, NJ 08854
Phone (732) 395-1282

24 Stelton Rd
Ste D
Piscataway, NJ 08854
Phone (732) 395-1282

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1861553638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-395-1282",
            "fax_number": "732-424-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542639",
            "telephone_number": "732-395-1282",
            "fax_number": "732-658-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMA",
        "first_name": "SARA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "954704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BCBS-NJ",
            "identifier": "200397267",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7654551",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "200397267",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3699965",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2634157",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3686480",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "HALIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.