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NAZ MADURO NUTRITION LLC
NPI 1013681063
Dietitian, Registered in Forest Hills, NY

Active since August 03, 2021
11835 QUEENS BLVD STE 400, FOREST HILLS, NY 11375(929) 307-0050 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2021, Aug 3, 2021 (2 updates tracked since 2021).

About Naz Maduro Nutrition Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAZ MADURO NUTRITION LLC (NPI 1013681063) is a healthcare organization registered as a dietitian, registered in Forest Hills, New York and active in the NPI registry since August 2021. The organization lists Nazirber D Maduro, President, as its authorized official.

NPPES Registry Identity

NPI1013681063
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameNAZ MADURO NUTRITION LLC
Location Address11835 QUEENS BLVD STE 400Forest Hills, NY 11375-7211
Mailing Address11835 Queens Blvd Ste 400Forest Hills, NY 11375-7211 · (929) 307-0050
Phone(929) 307-0050
Organization SubpartNo
Authorized OfficialNazirber D MaduroPresident · (347) 898-6680
Enumeration DateAugust 3, 2021
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1013681063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
11835 QUEENS BLVD STE 400, Forest Hills, NY 11375
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Other Identifiers 2

Other1306391586NY · Nazirber Maduro Individual Npi
Medicaid03813283NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naz Maduro Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Naz Maduro Nutrition LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nazirber Maduro, RDN, CDN, CDCES
Registered Dietitian or Nutrition Professional
NPI 1306391586
11835 QUEENS BLVD STE 400
Forest Hills, NY 11375
(929) 307-0050
Same address
Leddy Mezarina, RDN, CDN
Registered Dietitian or Nutrition Professional
NPI 1619643343
11835 QUEENS BLVD STE 400
Forest Hills, NY 11375
(929) 307-0050
Same address
Stephanie Aviles, CDN
Registered Dietitian or Nutrition Professional
NPI 1063093698
1065 SOUTHERN BLVD
Bronx, NY 10459
(718) 589-2440
✔ Accepts Medicare8.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naz Maduro Nutrition LLC's NPI number?

The NPI number for Naz Maduro Nutrition LLC is 1013681063. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Naz Maduro Nutrition LLC located?

Naz Maduro Nutrition LLC is located at 11835 Queens Blvd Ste 400, Forest Hills, NY 11375. The listed phone number is (929) 307-0050.

What is Naz Maduro Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Naz Maduro Nutrition LLC enrolled in Medicare?

Yes. Naz Maduro Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Naz Maduro Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Naz Maduro Nutrition LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Naz Maduro Nutrition LLC was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.