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FERNANDO IVAN UMANZOR GUZMAN RDN
NPI 1629722046
Dietitian, Registered in Bronx, NY

Active since February 04, 2022
130 W KINGSBRIDGE RD, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fernando Ivan Umanzor Guzman Rdn NPPES

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

FERNANDO IVAN UMANZOR GUZMAN RDN (NPI 1629722046) is an individual dietitian, registered in Bronx, New York, licensed in New York (86275925) and active in the NPI registry since February 2022. He is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1629722046
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameFERNANDO IVAN UMANZOR GUZMANCredential: RDN
Location Address130 W KINGSBRIDGE RDBronx, NY 10468-3904
Mailing Address282 W 113th St Apt 4bNew York, NY 10026-3328 · (202) 465-9997
Phone(718) 584-9000
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020
Enumeration DateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1629722046 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 NY · 86275925
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.
130 W KINGSBRIDGE RD, Bronx, NY 10468
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fernando Ivan Umanzor Guzman Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729551353
PECOS Enrollment IDI20260625002007

Medicare Billing Reassignment

Medicare enrollment records show Fernando Umanzor Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yun & Chin-Tan Physicians PLLC
8.1 mi
Adult Medicine
14205 ROOSEVELT AVE APT 112
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1114680287 (718) 663-2179

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

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.

DR. KELLY RAE CLARK PHARM.D.
Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
CHARISSE JAMES
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. JEREMY SILVERMAN PHD
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
GUANQING SUN MD
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. MONICA ANN SORIO
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
MRS. BLANCA VICTORIA FABER MSW, ACSW, LCSW
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Bronx County (718) 584-9000
DR. HELENE EVE PRICE M.D.
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Bronx County (718) 584-9000
MS. ALBA L HERNANDEZ MS, RD
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000

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 Fernando Umanzor Guzman's NPI number?

The NPI number for Fernando Umanzor Guzman is 1629722046. It was assigned to this individual provider in the NPPES registry on February 4, 2022.

Where is Fernando Umanzor Guzman located?

Fernando Umanzor Guzman practices at 130 W Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Fernando Umanzor Guzman's specialty?

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

Is Fernando Umanzor Guzman enrolled in Medicare?

Yes. Fernando Umanzor Guzman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fernando Umanzor Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Umanzor Guzman reassigns Medicare benefits to Yun & Chin-Tan Physicians PLLC (Flushing, 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 Fernando Umanzor Guzman'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 Fernando Umanzor Guzman was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.