Active NPIIndividual providerSole proprietor

Ms. Shannon J Gononsky, RDN

Dietitian, Registered in Teaneck, New Jersey

NPI Number1396008587
Practice location
522 Sagamore Avenue, Teaneck, NJ 07666
Fax
—
Last updated
October 25, 2026

Shannon Jean Gononsky is a Dietitian, Registered based in Teaneck, NJ. Shannon Jean Gononsky practices in Teaneck, NJ and has the professional credentials of RDN. The NPI Number for Shannon Jean Gononsky is 1396008587. The current practice location address for Shannon Jean Gononsky is 522 Sagamore Avenue, Teaneck, NJ 07666 and can be reached out via phone at 201-927-3836.

Provider Profile Details

NPI Number
1396008587
Provider Name
Shannon Jean Gononsky
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
522 Sagamore Avenue, Teaneck, NJ 07666
Phone Number
201-927-3836
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2012
Last Update Date
October 25, 2026
Certification Date
October 25, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
522 Sagamore Avenue
Teaneck, NJ 07666
Zip
07666
Phone Number
201-927-3836
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
522 Sagamore Ave
Teaneck, NJ 07666-2610
City
Teaneck
State
NJ
Zip
07666-2610
Phone Number
201-927-3836

License Information

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 Ms. Shannon J Gononsky, RDN?

The NPI number of Ms. Shannon J Gononsky, RDN is 1396008587. It was assigned on June 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Shannon J Gononsky, RDN?

Ms. Shannon J Gononsky, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Ms. Shannon J Gononsky, RDN practice?

The practice location is 522 Sagamore Avenue, Teaneck, NJ 07666. The office can be reached at 201-927-3836 (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 1396008587 directly on the NPPES registry website.

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