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LEDDY WILMA MEZARINA RDN, CDN
NPI 1619643343
Dietitian, Registered in Forest Hills, NY

Active since August 22, 2021
11835 QUEENS BLVD STE 400, FOREST HILLS, NY 11375(929) 307-0050(888) 494-2097 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

About Leddy Wilma Mezarina Rdn, Cdn NPPES

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

LEDDY WILMA MEZARINA RDN, CDN (NPI 1619643343) is an individual dietitian, registered in Forest Hills, New York, licensed in New York (009458-01) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1619643343
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLEDDY WILMA MEZARINACredential: RDN, CDN
Location Address11835 QUEENS BLVD STE 400Forest Hills, NY 11375-7211
Mailing Address11835 Queens Blvd Ste 400Forest Hills, NY 11375-7211 · (929) 307-0050 · Fax (888) 494-2097
Phone(929) 307-0050
Fax(888) 494-2097
Sole ProprietorNo
Enumeration DateAugust 22, 2021
Last NPPES UpdateSeptember 22, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
✔ NPI 1619643343 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 · 009458-01
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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leddy Wilma Mezarina Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Leddy Mezarina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Naz Maduro Nutrition LLC
Same address
Dietitian, Registered
11835 QUEENS BLVD STE 400
Forest Hills, NY 11375
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1013681063 (929) 307-0050
Boro Park Nutrition, LLC
9.9 mi
Nutritionist
1662 47TH ST
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1821511262 (347) 746-0453

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

Other Providers at the Same Location NPPES 20

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

MARISOL FLORES-ORTEGA
Counselor (Mental Health)
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (646) 656-0164
WHITEHOUSE MEDICAL EQUIPMENT AND SUPPLIES, LLC
Durable Medical Equipment & Medical Supplies
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (917) 587-4807
NAZ MADURO NUTRITION LLC
Dietitian, Registered
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (929) 307-0050
MAIN STREET HEALTH PARTNERS, P.C.
Family Medicine
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (718) 428-4100
NANA AOMORI
Counselor (Mental Health)
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (718) 456-1016
ALEXIA BOUMIS
Nurse Practitioner (Adult Health)
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (646) 722-7610
RPN NURSING CARE PLLC
Nursing Care
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (718) 218-4744
ETIENNE LUCIEN SR.
Counselor (Mental Health)
11835 QUEENS BLVD STE 400
FOREST HILLS, NY 11375
Queens County (646) 656-0164

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 Leddy Mezarina's NPI number?

The NPI number for Leddy Mezarina is 1619643343. It was assigned to this individual provider in the NPPES registry on August 22, 2021.

Where is Leddy Mezarina located?

Leddy Mezarina practices at 11835 Queens Blvd Ste 400, Forest Hills, NY 11375. The listed phone number is (929) 307-0050.

What is Leddy Mezarina's specialty?

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

Is Leddy Mezarina enrolled in Medicare?

Yes. Leddy Mezarina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leddy Mezarina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leddy Mezarina reassigns Medicare benefits to 2 organizations: Naz Maduro Nutrition LLC (Forest Hills, NY) and Boro Park Nutrition, LLC (Brooklyn, NY). Each 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 Leddy Mezarina'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 Leddy Mezarina was last updated on September 22, 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.