Leddy Wilma Mezarina, RDN, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

009458-01 Issued in NY

Practice address

11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211

Phone

(929) 307-0050

Fax

(888) 494-2097

NPI assigned

Aug 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boro Park Nutrition, LLC

  • Nutritionist
  • Brooklyn, NY
  • NPI 1821511262
  Medicare reassignment NPD
• Naz Maduro Nutrition LLC

  • Registered Dietitian
  • Forest Hills, NY
  • NPI 1013681063

  Dietitian, Registered

  Medicare reassignment NPD
• Boro Park Dietitian

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1174385223

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1619643343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "929-307-0050",
            "fax_number": "888-494-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 QUEENS BLVD STE 400",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757211",
            "telephone_number": "929-307-0050",
            "fax_number": "888-494-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZARINA",
        "first_name": "LEDDY",
        "middle_name": "WILMA",
        "credential": "RDN, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009458-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Wellness RX Inc.
• Metropolitan Pharmacy II Inc
• Amy Metzen, PA
• Jonathan Meyer, PA-C
• Steve Jeffrey Meyerowitz, D.C.
• MHD Physical Therapy PC
• Fatiha B Mia
• Michael Genco Chiropractic PC
• Michael L Weber
• Michael Tsadyk Medical PC

• Registered Dietitian in Forest Hills, NY
• Providers in Forest Hills, 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 22, 2021; 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.