Individual provider Active NPI

Victor Mendez, RDN

  • Registered Dietitian
  • Clifton, NJ
National Provider Identifier
1154701167
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86008154 Issued in NJ
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

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190813002804 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7113254145 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86008154NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
RDN Nutrition Counseling LLC Dietitian, Registered CurrentSince Aug 20, 2025 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.

Verify at the official NPI Registry.