Mojgan Mizrahi, RDN CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005579 Issued in NY

Practice address

20 Wenwood Dr
Glen Head, NY 11545-3128

Phone

(917) 817-2407

NPI assigned

Sep 14, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1558272096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WENWOOD DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453128",
            "telephone_number": "917-817-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WENWOOD DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453128",
            "telephone_number": "917-817-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "MOJGAN",
        "credential": "RDN CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melillo Center for Mental Health
• Barry M Mensch, D.D.S.,P.C.
• Helene Dale Mermelstein, PSY.D
• Michael B Capobianco MD
• Lauren Shady Mizrahi
• Modern Traditions Wellness
• Cheryl Moeller, ANP-C
• Lisa Mollick, LMHC
• Nicole E Muia
• Mackenzie Ryan Mulholland

• Registered Dietitian in Glen Head, NY
• Providers in Glen Head, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.