Active NPI
Mazzotta Nutrition PLLC
- Registered Dietitian
- Garden City, NY
National Provider Identifier
1073467247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MAZZOTTA NUTRITION PLLC
- Practice address
- 350 Old Country Rd Ste 205
Garden City, NY 11530-1701 - Phone
- (516) 620-3400
- Fax
- (516) 620-3401
- NPI assigned
- Feb 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee Mazzotta, RDN
- Title
- Owner
- Phone
- (516) 620-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
350 Old Country Rd Ste 205
Garden City, NY 11530-1701
Mailing address
350 Old Country Rd Ste 205
Garden City, NY 11530-1701
Phone (516) 620-3400
National Provider Directory
National Provider DirectoryLocations
350 Old Country Rd
Ste 205
Garden City, NY 11530
Phone (516) 620-3400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1073467247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 OLD COUNTRY RD STE 205",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301701",
"telephone_number": "516-620-3400",
"fax_number": "516-620-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 OLD COUNTRY RD STE 205",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301701",
"telephone_number": "516-620-3400",
"fax_number": "516-620-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAZZOTTA NUTRITION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "MAZZOTTA",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-620-3400",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.