Mary Suzanne Izzo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000377 Issued in CT

Practice address

520 Saybrook Rd Ste 210
Middletown, CT 06457-4700

Phone

(603) 582-9708

Fax

(860) 347-1630

NPI assigned

Sep 22, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1760790968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD STE 210",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "603-582-9708",
            "fax_number": "860-347-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZO",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amna Iqbal, M.D.
• Rizwan Iqbal, M.D.
• Francisco Irby, MD
• Sally J Irons, MD
• It Is Well Integrative Partners
• Bryan W Jackson, D.C., P.T.
• Lakshit Jain, M.B.B.S.
• Ravi Jain, MD
• Robert Jakubiec, DDS
• Courtney James, LCSW

• Registered Dietitian in Middletown, CT
• Providers in Middletown, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.