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MARLO NANCI MITTLER MS RD
NPI 1194398156
Dietitian, Registered - Nutrition, Pediatric in Great Neck, NY

Active since July 19, 2021
173 E SHORE RD, GREAT NECK, NY 11023(516) 857-6465 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlo Nanci Mittler Ms Rd NPPES

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

MARLO NANCI MITTLER MS RD (NPI 1194398156) is an individual nutrition, pediatric provider in Great Neck, New York, licensed in Illinois (819264) and active in the NPI registry since July 2021. She maintains a secondary practice location in Smithtown.

NPPES Registry Identity

NPI1194398156
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMARLO NANCI MITTLERCredential: MS RD
Location Address173 E SHORE RDGreat Neck, NY 11023-2456
Mailing Address5 Colonial DrSmithtown, NY 11787-4212 · (516) 857-6465
Phone(516) 857-6465
Sole ProprietorYes
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1194398156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
Licenses✔ Licensed in IL · 819264✔ Licensed in NY · 819264
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 819264 (NY)
173 E SHORE RD, Great Neck, NY 11023
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Secondary Practice Location 1

Location 15 Colonial DrSmithtown, NY 11787-4212 · Phone (516) 857-6465

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE L ROSEN M.D.
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Nassau County (516) 487-4020
DISTINCTIVE DENTAL SERVICES OF NEW YORK PC
Dentist (Pediatric Dentistry)
173 E SHORE RD, SUITE 201
GREAT NECK, NY 11023
Nassau County (516) 487-8110
DR. GILBERT DICK M.D.
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Nassau County (516) 487-4020
DR. SUSAN H SWEZEY M.D.
Pediatrics
173 E SHORE RD
GREAT NECK, NY 11023
Nassau County (516) 487-4020
GREAT NECK PEDIATRIC ASSOCIATES, PC
Pediatrics
173 E SHORE RD, 202
GREAT NECK, NY 11023
Nassau County (516) 487-4020

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 Marlo Mittler's NPI number?

The NPI number for Marlo Mittler is 1194398156. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Marlo Mittler located?

Marlo Mittler practices at 173 E Shore Rd, Great Neck, NY 11023. The listed phone number is (516) 857-6465.

What is Marlo Mittler's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Marlo Mittler was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.