MEDICARE: WHOLE GINGER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1528902251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE GINGER, INC.

Provider Business Mailing Address
First Line	:	30 RICHARD DR
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-1325
Country	:	US
Telephone Number	:	732-926-0969
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 RICHARD DR
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-1325
Country	:	US
Telephone Number	:	732-926-0969
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GEORGE JIANG
Credential	:
Telephone Number	:	732-926-0969

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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