Active NPI
Victor Mendez, RDN
- Registered Dietitian
- Clifton, NJ
National Provider Identifier
1154701167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86008154
- Practice address
- 716 Broad St
2ND FL, Suite 2-E
Clifton, NJ 07013-1645 - Phone
- (973) 777-7938
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 86008154 | NJ | Primary |
Addresses
Primary practice location
716 Broad St
2ND FL, Suite 2-E
Clifton, NJ 07013-1645
Mailing address
716 Broad St
2ND FL, Suite 2-E
Clifton, NJ 07013-1645
Phone (973) 777-7938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86008154 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RDN Nutrition Counseling LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
716 Broad St
Ste 2E
Clifton, NJ 07013
Phone (973) 777-7978
730 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 207-5043
220 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1154701167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 BROAD ST",
"address_2": "2ND FL, SUITE 2-E",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131645",
"telephone_number": "973-777-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 BROAD ST",
"address_2": "2ND FL, SUITE 2-E",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131645",
"telephone_number": "973-777-7938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "VICTOR",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86008154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.