1. Home
  2. Directory
  3. New York
  4. Jamaica
  5. Dietitian Registered
  6. NPI Profile

MAVIS REN RD
NPI 1295104172
Dietitian, Registered in Jamaica, NY

Active since September 21, 2015
9704 SUTPHIN BLVD, JAMAICA, NY 11435(718) 657-7088(718) 657-7092 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mavis Ren Rd NPPES

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

MAVIS REN RD (NPI 1295104172) is an individual dietitian, registered in Jamaica, New York, licensed in New York (008461-1) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1295104172
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMAVIS RENCredential: RD
Location Address9704 SUTPHIN BLVDJamaica, NY 11435-4721
Mailing Address60 Madison Ave, 5th FloorNew York, NY 10010-1600 · (212) 545-2400 · Fax (646) 312-0481
Phone(718) 657-7088
Fax(718) 657-7092
Sole ProprietorNo
Enumeration DateSeptember 21, 2015
Last NPPES UpdateOctober 23, 2015
✔ NPI 1295104172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 008461-1
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.
9704 SUTPHIN BLVD, Jamaica, NY 11435
Open in Google Maps ↗

Other Identifiers 14

Medicaid00695941NY
Medicare OSCAR/certification331058NY
Medicare OSCAR/certificationG1000004100NY
Medicare OSCAR/certification331944NY
Medicare OSCAR/certification331978NY
Medicare OSCAR/certification331043NY
Medicare OSCAR/certification331009NY
Medicare OSCAR/certificationW6L111NY
Medicare OSCAR/certification331945NY
Medicare OSCAR/certification331943NY
Medicare OSCAR/certification331946NY
Medicare OSCAR/certification331947NY
Medicare OSCAR/certification331952NY
Medicare OSCAR/certification331954NY

Other Providers at the Same Location NPPES 14

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

COMMUNITY HEALTHCARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
MRS. TAMARA VIKTORY PETROSYAN O.D.
Optometrist
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
SONEY TINO SIRIPHONE O.D.
Optometrist
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
JOSE ANDRES JOVEL M.D.
Psychiatry & Neurology (Psychiatry)
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
DR. MARIE F. T. FRITZA FIEVRE GARNES MD
Pediatrics
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
COMMUNITY HEALTHCARE NETWORK, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088
GRACE CHOW MD
Internal Medicine
9704 SUTPHIN BLVD, JAMAICA
JAMAICA, NY 11435
Queens County (718) 657-7088
SUSANN CORTES LCSW
Social Worker (Clinical)
9704 SUTPHIN BLVD
JAMAICA, NY 11435
Queens County (718) 657-7088

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 Mavis Ren's NPI number?

The NPI number for Mavis Ren is 1295104172. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Mavis Ren located?

Mavis Ren practices at 9704 Sutphin Blvd, Jamaica, NY 11435. The listed phone number is (718) 657-7088.

What is Mavis Ren's specialty?

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

When was this NPI record last updated?

The NPPES record for Mavis Ren was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.