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VIVIAN TAN RD
NPI 1740906478
Dietitian, Registered in Staten Island, NY

Active since October 14, 2022
165 VANDERBILT AVE, STATEN ISLAND, NY 10304(718) 616-0993 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian Tan Rd NPPES

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

VIVIAN TAN RD (NPI 1740906478) is an individual dietitian, registered in Staten Island, New York, licensed in New York (01062601) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1740906478
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameVIVIAN TANCredential: RD
Location Address165 VANDERBILT AVEStaten Island, NY 10304-2521
Mailing Address1755 W 11th StBrooklyn, NY 11223-1141 · (917) 588-6517
Phone(718) 616-0993
Sole ProprietorNo
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 14, 2022
✔ NPI 1740906478 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 · 01062601
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.
165 VANDERBILT AVE, Staten Island, NY 10304
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Other Providers at the Same Location NPPES 5

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

RAMONA ANG YUBONTOY MD
Pediatrics
165 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (917) 842-3183
KEVIN FULLER-NG MS, RD, CSO, CDN
Dietitian, Registered
165 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 616-0999
DR. SHIMENG HU MD
Internal Medicine
165 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 616-0999
NANCY ANASTASIA ASSERAF DO
Family Medicine
165 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 616-0999
ASHLEY MATHEW LMSW
Social Worker
165 VANDERBILT AVE
STATEN ISLAND, NY 10304
Richmond County (718) 616-1042

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 Vivian Tan's NPI number?

The NPI number for Vivian Tan is 1740906478. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Vivian Tan located?

Vivian Tan practices at 165 Vanderbilt Ave, Staten Island, NY 10304. The listed phone number is (718) 616-0993.

What is Vivian Tan's specialty?

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

When was this NPI record last updated?

The NPPES record for Vivian Tan was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.