Sharon R. Wieder, RD
Individual provider Active NPI Pediatric Nutrition Registered Dietitian · Bogota, NJ
NPI 1992205447 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1992205447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian 133VN1004X
- Practice address
- 100 E Main St
Bogota, NJ 07603-1310 - Phone
- (201) 314-8545
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Yes |
Addresses
Primary practice location
100 E Main St
Bogota, NJ 07603-1310
Mailing address
PO Box 3382
Teaneck, NJ 07666
Phone (201) 314-8545
Other providers in Bogota, NJ
- Daheen Um
- Courtney Lauryn Vignola
- Walgreen Co
- Karen Ann Wassner
- Whole Body Natural Wellness Center
- Woori Health Care Corp
- Adoma Yeboah
- Scott Yi
All providers in Bogota, NJ · Pediatric Nutrition Registered Dietitian in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.