Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PIEK TAN RD, CDC
NPI 1255309522
Dietitian, Registered in East Syracuse, NY

Q: What is Piek Tan's NPI number?

The NPI number for Piek Tan is 1255309522. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Piek Tan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Piek Tan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since March 10, 2006

4939 BRITTONFIELD PKWY, SUITE 201, EAST SYRACUSE, NY 13057(315) 463-1200(315) 634-6789 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Piek Tan Rd, Cdc NPPES

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

PIEK TAN RD, CDC (NPI 1255309522) is an individual dietitian, registered in East Syracuse, New York, licensed in Illinois (890336) and active in the NPI registry since March 2006. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1255309522

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NamePIEK TANCredential: RD, CDC

Location Address4939 BRITTONFIELD PKWY, SUITE 201East Syracuse, NY 13057-9208

Mailing Address4939 Brittonfield Pkwy, Suite 201East Syracuse, NY 13057-9208 · (315) 463-1200 · Fax (315) 634-6789

Phone(315) 463-1200

Fax(315) 634-6789

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMarch 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1255309522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 890336

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.

4939 BRITTONFIELD PKWY, East Syracuse, NY 13057

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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

Piek Tan Rd, Cdc 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 ID5991717001

PECOS Enrollment IDI20060607000233

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

228 services73 patients

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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.

MARTHA G. ALIWALAS M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

MR. MATTHEW WILLIAM EDDY MSPT

Specialist

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 234-7322

RACHAEL LOUISE CAVELLI NP

Nurse Practitioner

4939 BRITTONFIELD PKWY, CNY FAMILY CARE
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

MICHAEL J PICCIANO M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

PETER J CHRISTIANO M.D.

Family Medicine

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

DR. MAI-ANH DOAN MD

Obstetrics & Gynecology

4939 BRITTONFIELD PKWY, SUITE 211, BLDG. B
EAST SYRACUSE, NY 13057

Onondaga County (315) 446-4400

MICHAEL FIACCO MD

Family Medicine

4939 BRITTONFIELD PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

LOUIS BONAVITA JR. M.D.

Family Medicine

4939 BRITTONFIELD PKWY, SUITE 101
EAST SYRACUSE, NY 13057

Onondaga County (315) 463-1600

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 Piek Tan's NPI number?

The NPI number for Piek Tan is 1255309522. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Piek Tan located?

Piek Tan practices at 4939 Brittonfield Pkwy Suite 201, East Syracuse, NY 13057. The listed phone number is (315) 463-1200.

What is Piek Tan's specialty?

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

Is Piek Tan enrolled in Medicare?

Yes. Piek Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Piek Tan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.