Purnima Shivaram, - Medicare Dietitian in Kinnelon, NJ

  1. Home
  2. Dietitians
  3. NJ
  4. Kinnelon
Purnima Shivaram, is a medicare enrolled "Dietitian, Registered" provider in Kinnelon, New Jersey. Her current practice location is 8 Allen Dr, Kinnelon, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 519-1883.

Purnima Shivaram is licensed to practice in New Jersey (license number 86037193) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730755786.

Contact Information

Purnima Shivaram,
8 Allen Dr,
Kinnelon, NJ 07405-2924
(973) 519-1883
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePurnima Shivaram
GenderFemale
SpecialityDietitian, Registered
Location8 Allen Dr, Kinnelon, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730755786
  • Provider Enumeration Date: 06/01/2021
  • Last Update Date: 06/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648678201
  • Enrollment ID: I20211012001720

Medical Identifiers

Medical identifiers for Purnima Shivaram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730755786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86037193 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Purnima Shivaram allows following entities to bill medicare on her behalf.
Provider NameNutrition & Health Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629442322
PECOS PAC ID: 4981986916
Enrollment ID: O20170126000993

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Purnima Shivaram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Purnima Shivaram,
8 Allen Dr,
Kinnelon, NJ 07405-2924

Ph: () -		Purnima Shivaram,
8 Allen Dr,
Kinnelon, NJ 07405-2924

Ph: (973) 519-1883

Reviews and Comments


Dietitian, Registered in Kinnelon, NJ

Shane Park, MS, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 27 Forestdale Rd, Kinnelon, NJ 07405
Phone: 973-879-6811    
Mrs. Dana Ann Jacko, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 9 Brookvale Rd, Kinnelon, NJ 07405
Phone: 973-838-8128    
Kristin Beraitis, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 51 Daniel Ln, Kinnelon, NJ 07405
Phone: 201-317-1852    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.