NUTRIALL WELLNESS CENTER
NPI 1053033365
Dietitian, Registered in Bayside, NY

Q: What is Nutriall Wellness Center LLC's NPI number?

The NPI number for Nutriall Wellness Center LLC is 1053033365. It was assigned to this organization in the NPPES registry on September 13, 2022. The provider is doing business as Nutriall Wellness Center.

Q: What is Nutriall Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since September 13, 2022

3347 213TH ST, BAYSIDE, NY 11361(929) 777-4933(888) 370-1981 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Feb 27, 2023, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

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About Nutriall Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NUTRIALL WELLNESS CENTER (NPI 1053033365) is a healthcare organization registered as a dietitian, registered in Bayside, New York and active in the NPI registry since September 2022. The organization lists Xiaofang Tan, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1053033365

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameNUTRIALL WELLNESS CENTER LLC

Location Address3347 213TH STBayside, NY 11361-1560

Mailing Address3347 213th StBayside, NY 11361-1560 · (929) 777-4933 · Fax (888) 370-1981

Phone(929) 777-4933

Fax(888) 370-1981

Organization SubpartNo

Authorized OfficialXiaofang TanRegistered Dietitian · (929) 777-4933

Enumeration DateSeptember 13, 2022

Last NPPES UpdateMay 9, 20234 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1053033365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X

3347 213TH ST, Bayside, NY 11361

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Other Names 1

Doing Business AsNutriall Wellness Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nutriall Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nutriall Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Xiaofang Tan, RDN, CDN

Registered Dietitian or Nutrition Professional

NPI 1861113441

3347 213TH ST
Bayside, NY 11361

(646) 639-5011

Same address

Alexandra Rodiles, RDN, CDN

Registered Dietitian or Nutrition Professional

NPI 1720867955

184 WARDWELL RD
Mineola, NY 11501

(516) 595-4958

6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nutriall Wellness Center LLC's NPI number?

The NPI number for Nutriall Wellness Center LLC is 1053033365. It was assigned to this organization in the NPPES registry on September 13, 2022. The provider is doing business as Nutriall Wellness Center.

Where is Nutriall Wellness Center LLC located?

Nutriall Wellness Center LLC is located at 3347 213th St, Bayside, NY 11361. The listed phone number is (929) 777-4933.

What is Nutriall Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Nutriall Wellness Center LLC enrolled in Medicare?

Yes. Nutriall Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nutriall Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Nutriall Wellness Center LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nutriall Wellness Center LLC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.