MEDICARE: DR. SHRENI NATOO ZINZUWADIA M.D.

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	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	25MA08447200	NJ

General Provider Information

NPI Number	:	1629233275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHRENI NATOO ZINZUWADIA M.D.

Provider Business Mailing Address
First Line	:	29 FAIRVIEW AVE
Second Line	:
City	:	SOUTH ORANGE
State	:	NJ
Zip	:	07079-2522
Country	:	US
Telephone Number	:	732-672-5102
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 BERGEN ST
Second Line	:	ROOM C-370
City	:	NEWARK
State	:	NJ
Zip	:	07103-2496
Country	:	US
Telephone Number	:	973-972-9261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	01/13/2026

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