Organization Active NPI

M. Renda, Rd, CDN

  • Health Service Clinic/Center
  • North Bellmore, NY
National Provider Identifier
1114308459
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
005185-1 Issued in NY
Legal business name
M. RENDA, RD, CDN
Practice address
2415 Jerusalem Ave
Suite 106
North Bellmore, NY 11710-1870
Phone
(516) 672-5927
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Mrs. Marion Renda, R.D., CDNNPI 1033810825
Title
Registered Dietitian, CDN
Phone
(516) 672-5927

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
Health Service Clinic/Center 261QH0100X 005185-1 NY Primary

Addresses

Primary practice location

2415 Jerusalem Ave
Suite 106
North Bellmore, NY 11710-1870

Mailing address

7 Park LN
Levittown, NY 11756-1115
Phone (516) 672-5927

National Provider Directory

National Provider Directory

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1114308459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARK LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561115",
            "telephone_number": "516-672-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 106",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-672-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. RENDA, RD, CDN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "RENDA",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, CDN",
        "authorized_official_telephone_number": "516-672-5927",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D., CDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "005185-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.