MBD CARE LLC
NPI 1538042650
Clinic/Center in Staten Island, NY
About Mbd Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MBD CARE LLC (NPI 1538042650) is a healthcare organization registered as a clinic/center in Staten Island, New York and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Brooklyn and lists Tatiana Kidanov, Owner/managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mbd Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mbd Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mbd Care LLC's NPI number?
The NPI number for Mbd Care LLC is 1538042650. It was assigned to this organization in the NPPES registry on July 28, 2025.
Where is Mbd Care LLC located?
Mbd Care LLC is located at 3350 Victory Blvd, Staten Island, NY 10314. The listed phone number is (917) 721-4494.
What is Mbd Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Mbd Care LLC enrolled in Medicare?
Yes. Mbd Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mbd Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Mbd Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mbd Care LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mbd Care Llc · NPI 1538042650
Clinic/Center organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since July 28, 2025.
## Identity
- **NPI:** 1538042650 (Entity type: Organization)
- **Enumerated:** July 28, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Tatiana Kidanov, OWNER/MANAGING MEMBER
## Practice location
- **Address:** 3350 VICTORY BLVD, Staten Island, NY 10314-6792
- **Phone:** (917) 721-4494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538042650) · Data from the CMS NPPES public registry.