SUSAN MIZZI R D
NPI 1639135049
Dietitian, Registered in Newark, NJ
About Susan Mizzi R D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN MIZZI R D (NPI 1639135049) is an individual dietitian, registered in Newark, New Jersey, licensed in New York (0021171) and active in the NPI registry since April 2006. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Mizzi R D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Susan Mizzi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 112 clinicians in this Medicare group
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.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
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 Susan Mizzi's NPI number?
The NPI number for Susan Mizzi is 1639135049. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Susan Mizzi located?
Susan Mizzi practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.
What is Susan Mizzi's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Susan Mizzi enrolled in Medicare?
Yes. Susan Mizzi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Susan Mizzi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mizzi reassigns Medicare benefits to Central Avenue Professional Services, PC (Newark, 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 Susan Mizzi'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 Susan Mizzi was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Susan Mizzi, R D · NPI 1639135049
Dietitian, Registered provider in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1639135049 (Entity type: Individual)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 0021171 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 CENTRAL AVE, Newark, NJ 07102-1909
- **Phone:** (973) 877-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Central Avenue Professional Services, PC (NPI 1447649694, Newark, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639135049) · Data from the CMS NPPES public registry.