Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mavis Ren, RD

Registered Dietitian in Jamaica, NY · enumerated 2015.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295104172

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Registry record

Entity type Individual (Type 1)

Name Mavis Ren

Credential RD

Sex Female

Practice address 9704 Sutphin Blvd, Jamaica, NY, 11435

Phone (718) 657-7088

Fax (718) 657-7092

Enumeration date Sep 21, 2015

Last updated in NPPES Oct 23, 2015

Taxonomy & licenses

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 008461-1 (NY) Primary

RD · Registered Dietitian: A nutrition professional credentialed by the Commission on Dietetic Registration. About the RD credential

Other identifiers

Identifier	Type	State	Issuer
00695941	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Mavis Ren's NPI record?

Cross-check NPI 1295104172 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1295104172 active?

Yes, as of the latest NPPES snapshot, NPI 1295104172 is active (record last updated 2015-10-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-23.