Active NPIIndividual providerSole proprietor

Shira Levine, RD

Dietitian, Registered in Teaneck, New Jersey

NPI Number1174069298
Practice location
636 S Forest Dr, Teaneck, NJ 07666-2012
Fax
—
Last updated
August 28, 2025

Shira Levine is a Dietitian, Registered based in Teaneck, NJ. Shira Levine practices in Teaneck, NJ and has the professional credentials of RD. The NPI Number for Shira Levine is 1174069298 and holds a License No. 002502-01 (NY). The current practice location address for Shira Levine is 636 S Forest Dr, Teaneck, NJ 07666-2012 and can be reached out via phone at 201-692-1569.

Provider Profile Details

NPI Number
1174069298
Provider Name
Shira Levine
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
636 S Forest Dr, Teaneck, NJ 07666-2012
Phone Number
201-692-1569
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2017
Last Update Date
August 28, 2025
Certification Date
August 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
636 S Forest Dr
Teaneck, NJ 07666-2012
Zip
07666-2012
Phone Number
201-692-1569
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
636 S Forest Dr
Teaneck, NJ 07666-2012
City
Teaneck
State
NJ
Zip
07666-2012
Phone Number
201-692-1569

License Information

License Number
002502-01
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shira Levine, RD?

The NPI number of Shira Levine, RD is 1174069298. It was assigned on January 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Shira Levine, RD?

Shira Levine, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 002502-01.

Where does Shira Levine, RD practice?

The practice location is 636 S Forest Dr, Teaneck, NJ 07666-2012. The office can be reached at 201-692-1569 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174069298 directly on the NPPES registry website.

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