Individual provider · Type 1 NPI

Mandel Johnson Smith, RD

Registered Dietitian · Philadelphia, PA

NPI number 1083453260 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-4600 Map

Fax (215) 707-5599

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XDN006633 (PA)
Endocrinology, Diabetes & Metabolism Physician 207RE0101XDN006633 (PA)

Registered Dietitian: 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…

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About NPI 1083453260

Mandel Johnson Smith, RD's National Provider Identifier is 1083453260, issued on May 20, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 2, 2026.