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

Individual provider Registered Dietitian · NPI 1669089876

Michelle Mamis, RD is a Registered Dietitian in Randolph, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

16 Meadowbrook Rd
Randolph, NJ 07869-3810
Phone: (516) 650-6230
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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 01025690

Record details

NPI number1669089876
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedSeptember 30, 2020
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020
Mailing address16 Meadowbrook Rd, Randolph, NJ 07869-3810

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