Active NPI
Sharon R. Wieder, RD
- Pediatric Nutrition Registered Dietitian
- Bogota, NJ
National Provider Identifier
1992205447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Practice address
- 100 E Main St
Bogota, NJ 07603-1310 - Phone
- (201) 314-8545
- NPI assigned
- Feb 20, 2018
- Last updated
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary |
Addresses
Primary practice location
100 E Main St
Bogota, NJ 07603-1310
Mailing address
PO Box 3382
Teaneck, NJ 07666
Phone (201) 314-8545
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Wieder Nutrition LLC | Nutrition, Pediatric | Current | Accepting new patients |
| Nourish, Inc. | Past | Accepting new patients | |
| Boro Park Nutrition, LLC | Past | Accepting new patients |
Locations
100 E Main St
Bogota, NJ 07603
Phone (201) 314-8545
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Start Smart Nutrition
- Pediatric Nutrition Registered Dietitian
- Bogota, NJ
- NPI 1134622475
Nutrition, Pediatric
-
- Nutritionist
- Brooklyn, NY
- NPI 1821511262
-
- Registered Dietitian
- Austin, TX
- NPI 1558097824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1992205447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3382",
"city": "TEANECK",
"state": "NJ",
"postal_code": "07666",
"telephone_number": "201-314-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "BOGOTA",
"state": "NJ",
"postal_code": "076031310",
"telephone_number": "201-314-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDER",
"first_name": "SHARON",
"middle_name": "R.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bogota, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.