TANISHA GONZALEZ RDN
NPI 1124781570
Dietitian, Registered in Buffalo, NY

Active since October 21, 2021Accepts Medicare Assignment
300 NIAGARA ST, BUFFALO, NY 14201(716) 242-8600 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tanisha Gonzalez Rdn NPPES

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

TANISHA GONZALEZ RDN (NPI 1124781570) is an individual dietitian, registered in Buffalo, New York and active in the NPI registry since October 2021. She maintains 3 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124781570
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTANISHA GONZALEZCredential: RDN
Location Address300 NIAGARA STBuffalo, NY 14201-2135
Mailing Address155 Lawn AveBuffalo, NY 14207-1816 · (716) 875-2904
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
NPI 1124781570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

300 NIAGARA ST, Buffalo, NY 14201

Secondary Practice Locations 3

Location 1151 Elmview AveHamburg, NY 14075-3762 · Phone (716) 648-4345
Location 2155 Lawn AveBuffalo, NY 14207-1816 · Phone (716) 875-2904
Location 34233 Lake AveBlasdell, NY 14219-1216 · Phone (716) 332-3070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanisha Gonzalez Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183015340
PECOS Enrollment IDI20211222001505

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 NIAGARA ST, NIAGARA FAMILY HEALTH CENTER
BUFFALO, NY 14201
Family Medicine
300 NIAGARA ST, NIAGARA FAMILY HEALTH CENTER
BUFFALO, NY 14201
Nurse Practitioner (Adult Health)
300 NIAGARA ST
BUFFALO, NY 14201
Pharmacist
300 NIAGARA ST
BUFFALO, NY 14201
Nurse Practitioner (Family)
300 NIAGARA ST
BUFFALO, NY 14201
Social Worker
300 NIAGARA ST
BUFFALO, NY 14201
Nurse Practitioner (Family)
300 NIAGARA ST
BUFFALO, NY 14201
Pharmacist
300 NIAGARA ST
BUFFALO, NY 14201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124781570, enumerated as an "individual" on October 21, 2021.

The provider is located at 300 NIAGARA ST BUFFALO, NY 14201 and the phone number is (716) 242-8600.

Dietitian, Registered with taxonomy code 133V00000X.