Organization Active NPI

RDN Nutrition Counseling LLC

  • Registered Dietitian
  • Paterson, NJ
National Provider Identifier
1386296705
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
RDN NUTRITION COUNSELING LLC
Practice address
1025 E 22ND St
Paterson, NJ 07513-1614
Phone
(973) 356-5075
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mr. Victor Mendez, B.S RDNNPI 1154701167
Title
Owner
Phone
(973) 356-5075

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

1025 E 22ND St
Paterson, NJ 07513-1614

Mailing address

1025 E 22ND St
Paterson, NJ 07513-1614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251003000643 NJ Part B Supplier - Clinic/Group Practice 5991201410 Receives reassigned benefits from 1 practitioner
Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

730 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 207-5043

716 Broad St
Ste 2
Clifton, NJ 07013
Phone (973) 910-1533

716 Broad St
Ste 2E
Clifton, NJ 07013
Phone (973) 777-7978

Practitioners & affiliated clinicians

Practitioners 8

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1386296705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E 22ND ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 22ND ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131614",
            "telephone_number": "973-356-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDN NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-356-5075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S 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 Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.