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: July 19, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361
Dietitian, Registered
3347 213TH ST
BAYSIDE, NY 11361

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861113441, enumerated as an "individual" on September 12, 2022.

The provider is located at 3347 213TH ST BAYSIDE, NY 11361 and the phone number is (646) 639-5011.

Dietitian, Registered with taxonomy code 133V00000X.