Active NPI
Jivin Mammen
- Nutritionist
- Yonkers, NY
National Provider Identifier
1689506198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 50 Riverdale Ave Apt 1E
Yonkers, NY 10701-3642 - Phone
- (914) 338-6436
- NPI assigned
- May 30, 2026
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CT | Primary |
Addresses
Primary practice location
50 Riverdale Ave Apt 1E
Yonkers, NY 10701-3642
Mailing address
50 Riverdale Ave Apt 1E
Yonkers, NY 10701-3642
Phone (914) 338-6436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1689506198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 RIVERDALE AVE APT 1E",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013642",
"telephone_number": "914-338-6436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 RIVERDALE AVE APT 1E",
"city": "YONKERS",
"state": "NY",
"postal_code": "107013642",
"telephone_number": "914-338-6436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMMEN",
"first_name": "JIVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.