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XIAOFANG TAN RDN, CDN
NPI 1861113441
Dietitian, Registered in Bayside, NY

Active since September 12, 2022
3347 213TH ST, BAYSIDE, NY 11361(646) 639-5011 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Sep 13, 2022 (2 updates tracked since 2022).

About Xiaofang Tan Rdn, Cdn NPPES

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

XIAOFANG TAN RDN, CDN (NPI 1861113441) is an individual dietitian, registered in Bayside, New York, licensed in New York (011384) and active in the NPI registry since September 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1861113441
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameXIAOFANG TANCredential: RDN, CDN
Location Address3347 213TH STBayside, NY 11361-1560
Mailing Address3347 213th StBayside, NY 11361-1560 · (929) 777-4933 · Fax (888) 370-1981
Phone(646) 639-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 12, 2022
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1861113441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in NY · 011384✔ Licensed in NY · 86290117
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.
3347 213TH ST, Bayside, NY 11361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xiaofang Tan Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658736038
PECOS Enrollment IDI20230510001213

Medicare Billing Reassignments

2

Medicare enrollment records show Xiaofang Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutriall Wellness Center LLC
Same address
Dietitian, Registered
3347 213TH ST
Bayside, NY 11361
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1053033365 (929) 777-4933
North Shore - Lij Medical PC
3.7 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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 4

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

NUTRIALL WELLNESS CENTER LLC
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Queens County (929) 777-4933
I-WELL INC.
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Queens County (929) 777-4933
TSZ SHAN AU RD
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Queens County (929) 777-4933
ZIYING ZHANG
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Queens County (929) 777-4933

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 Xiaofang Tan's NPI number?

The NPI number for Xiaofang Tan is 1861113441. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Xiaofang Tan located?

Xiaofang Tan practices at 3347 213th St, Bayside, NY 11361. The listed phone number is (646) 639-5011.

What is Xiaofang Tan's specialty?

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

Is Xiaofang Tan enrolled in Medicare?

Yes. Xiaofang Tan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Xiaofang Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Xiaofang Tan reassigns Medicare benefits to 2 organizations: Nutriall Wellness Center LLC (Bayside, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Xiaofang Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Xiaofang Tan accept?

Health plans from Anthem Blue Cross and Blue Shield list Xiaofang Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Xiaofang Tan was last updated on May 9, 2023. 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.