Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matt Mazzino, RD, LD

Individual provider Registered Dietitian · NPI 1043035728

Matt Mazzino, RD, LD is a Registered Dietitian OR Nutrition Professional in Cleveland, Ohio. Qualified in 2017, 9 years ago. Offers telehealth. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

11603 Fidelity Ave
Cleveland, OH 44111-3651
Phone: (440) 567-8008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD.08244 (OH)

Record details

NPI number1043035728
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedNovember 18, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address11603 Fidelity Ave, Cleveland, OH 44111-3651

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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