Organization Active NPI

Mazzotta Nutrition PLLC

  • Registered Dietitian
  • Garden City, NY
National Provider Identifier
1073467247
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Mazzotta, RDNNPI 1588351068
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.