Active NPI
Mandi Joy Madowicz, RD, CDN, CDE
- Registered Dietitian
- Lawrence, NY
National Provider Identifier
1003877101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001224
- Practice address
- 22 Waverly PL
Lawrence, NY 11559-2513 - Phone
- (516) 374-1699
- Fax
- (516) 374-1699
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001224 | NY | Primary |
Addresses
Primary practice location
22 Waverly PL
Lawrence, NY 11559-2513
Mailing address
22 Waverly PL
Lawrence, NY 11559-2513
Phone (516) 374-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060228000274 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 9638185770 | Practice locations: Lawrence, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
22 Waverly PL
Lawrence, NY 11559-2512
Phone (516) 374-1699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001224 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003877101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WAVERLY PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115592513",
"telephone_number": "516-374-1699",
"fax_number": "516-374-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 WAVERLY PL",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115592513",
"telephone_number": "516-374-1699",
"fax_number": "516-374-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADOWICZ",
"first_name": "MANDI",
"middle_name": "JOY",
"credential": "RD, CDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.