SUSANA L MENDELSON RD, CDE
NPI 1164510657
Dietitian, Registered in Hoboken, NJ
About Susana L Mendelson Rd, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANA L MENDELSON RD, CDE (NPI 1164510657) is an individual dietitian, registered in Hoboken, New Jersey, licensed in New Jersey (871383) and active in the NPI registry since October 2006. She is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susana L Mendelson Rd, Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Susana Mendelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOBOKEN, NJ 07030
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 Susana Mendelson's NPI number?
The NPI number for Susana Mendelson is 1164510657. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Susana Mendelson located?
Susana Mendelson practices at 330 Grand St Suite 100, Hoboken, NJ 07030. The listed phone number is (201) 637-2631.
What is Susana Mendelson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Susana Mendelson enrolled in Medicare?
Yes. Susana Mendelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Susana Mendelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susana Mendelson reassigns Medicare benefits to Slm Nutrition, LLC (Hoboken, NJ). The 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 Susana Mendelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susana Mendelson was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Susana L Mendelson, RD, CDE · NPI 1164510657
Dietitian, Registered provider in Hoboken, New Jersey. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1164510657 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 871383 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 GRAND ST, SUITE 100, Hoboken, NJ 07030-2728
- **Phone:** (201) 637-2631 · **Fax:** (973) 696-2433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Slm Nutrition, LLC (NPI 1861670671, Hoboken, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** February 23, 2011
- **Other identifiers:** Medicare PIN 054092UVH (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1164510657) · Data from the CMS NPPES public registry.