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PURNIMA SHIVARAM
NPI 1730755786
Dietitian, Registered in Kinnelon, NJ

Active since June 01, 2021
8 ALLEN DR, KINNELON, NJ 07405(973) 519-1883 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Purnima Shivaram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURNIMA SHIVARAM (NPI 1730755786) is an individual dietitian, registered in Kinnelon, New Jersey, licensed in New Jersey (86037193) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1730755786
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NamePURNIMA SHIVARAM
Location Address8 ALLEN DRKinnelon, NJ 07405-2924
Mailing Address8 Allen DrKinnelon, NJ 07405-2924
Phone(973) 519-1883
Sole ProprietorNo
Enumeration DateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1730755786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NJ · 86037193
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
8 ALLEN DR, Kinnelon, NJ 07405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Purnima Shivaram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Purnima Shivaram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nutrition & Health Center Inc.
22 mi
Dietitian, Registered
2050 CENTER AVE, SUITE # 325
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1629442322 (201) 893-3402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Purnima Shivaram's NPI number?

The NPI number for Purnima Shivaram is 1730755786. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Purnima Shivaram located?

Purnima Shivaram practices at 8 Allen Dr, Kinnelon, NJ 07405. The listed phone number is (973) 519-1883.

What is Purnima Shivaram's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Purnima Shivaram enrolled in Medicare?

Yes. Purnima Shivaram is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Purnima Shivaram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Purnima Shivaram reassigns Medicare benefits to Nutrition & Health Center Inc. (Fort Lee, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Purnima Shivaram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Purnima Shivaram was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.