PIEK TAN RD, CDC
NPI 1255309522
Dietitian, Registered in East Syracuse, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Piek Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Syracuse, NY 13057
- Reassigned Medicare billing, New York enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EAST SYRACUSE, NY 13057
EAST SYRACUSE, NY 13057
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.
Which organization bills Medicare for Piek Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Piek Tan reassigns Medicare benefits to Cny Family Care, LLP (East Syracuse, NY). The 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 Piek Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 months 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.
# Piek Tan, RD, CDC · NPI 1255309522
Dietitian, Registered provider in East Syracuse, New York. Individual provider, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1255309522 (Entity type: Individual)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 890336 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4939 BRITTONFIELD PKWY, SUITE 201, East Syracuse, NY 13057-9208
- **Phone:** (315) 463-1200 · **Fax:** (315) 634-6789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Cny Family Care, LLP (NPI 1881643823, East Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255309522) · Data from the CMS NPPES public registry.