SHARON WIEDER NUTRITION LLC (NPI# 1134622475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134622475 |
Entity Type | Organization |
Organization Name | SHARON WIEDER NUTRITION LLC |
Other Organization Name | START SMART NUTRITION |
Practice Address |
100 E Main St Bogota NJ 07603-1310 |
Mailing Address |
Po Box 3382 Teaneck NJ 07666-9107 |
Practice Telephone | 2013148545 |
Enumeration Date | 2018-03-13 |
Last Update Date | 2018-10-15 |
Authorized Official Name | SHARON R WIEDER (OWNER) |
Authorized Official Telephone | 2013148545 |
Authorized Official Credential | RD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
Other Name | Type Code |
---|---|
Start Smart Nutrition | Doing Business As Name - Organization |
Start Smart Pediatric Nutrition | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
301 Winthrop Rd, Teaneck, NJ 076663044 | 2013148545 |
Street Address |
100 E MAIN ST |
City | BOGOTA |
State | NJ |
Zip Code | 07603-1310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992205447 | Sharon R. Wieder | Dietitian, Registered | 100 E Main St, Bogota, NJ 07603-1310 | 2018-02-20 |
1811407471 | Kids' Therapy Place, LLC | Occupational Therapist | 100 E Main St, Bogota, NJ 07603-1310 | 2017-10-09 |
1730699398 | Alyssa Colton | Occupational Therapist | 100 E Main St, Bogota, NJ 07603-1310 | 2017-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568846616 | Golden Adult Day Care Inc | Clinic/Center | 53-57 W Fortlee Rd, Bogota, NJ 07603 | 2015-07-17 |
1649302829 | Christopher John Amoruso | Chiropractor | 71 East Main St, Bogota, NJ 07603 | 2007-03-12 |
1528592367 | Zhanna Radevich | Early Intervention Provider Agency | 172 Palisade Ave, Bogota, NJ 07603 | 2017-04-19 |
1609933506 | Sultan Sherzoy | Dentist | 85 E Main St, Bogota, NJ 07603 | 2007-01-02 |
1891974325 | John Warren King | Occupational Therapist | 128 W Grove St, Bogota, NJ 07603-1003 | 2007-11-01 |
1609117001 | Kings Ot and Ot Therapy Services LLC. | Physical Therapist | 128 W Grove St, Bogota, NJ 07603-1003 | 2013-03-09 |
1255592572 | Maria Cristina King | Physical Therapist | 128 W Grove St, Bogota, NJ 07603-1003 | 2008-06-19 |
1720300718 | Geetha V Nair | Pharmacist | 128 Homestead Pl, Bogota, NJ 07603-1005 | 2010-02-18 |
1649827353 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 360 Larch Ave, Bogota, NJ 07603-1008 | 2019-08-19 |
1790158129 | St Mary Family Physical Therapy PC | Home Health | 370 Larch Ave, Bogota, NJ 07603-1008 | 2015-11-06 |
Find all providers in zip 07603 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992205447 | Sharon R. Wieder | Dietitian, Registered | 100 E Main St, Bogota, NJ 07603-1310 | 2018-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
1871929109 | Janet S. Kopchinski | Dietitian, Registered | 7 Washington Street, Suite 3 Be Well Morristown, Morristown, NJ 07960 | 2013-09-18 |
1043657711 | Diane Z. Duelfer | Dietitian, Registered | 100 Madison Ave # 82, Morristown, NJ 07960-6136 | 2013-06-04 |
1932546686 | Lauren Udall | Dietitian, Registered | 10 Mayfair Rd, Morris Plains, NJ 07950-2226 | 2013-06-03 |
1922581255 | One With Nutrition LLC | Dietitian, Registered | 1 Stilwell Dr, Holmdel, NJ 07733-1927 | 2018-09-12 |
1376048801 | Andrea Lynn Siering | Dietitian, Registered | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2018-03-27 |
1538691977 | Kareboost Health LLC | Dietitian, Registered | 107 Cedar Grove Ln, Suite 100, Somerset, NJ 08873-4719 | 2017-04-03 |
1265890578 | Melanie Lee | Dietitian, Registered | 89 French St, New Brunswick, NJ 08901-1935 | 2016-02-01 |
1982095675 | Kathleen White | Dietitian, Registered | 155 Polifly Rd, Hackensack, NJ 07601-1758 | 2015-02-17 |
1851791545 | Heather Marretta | Dietitian, Registered | 703 Main St, Paterson, NJ 07503-2621 | 2014-08-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.