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KYRA TYWANICK RDN
NPI 1871341263
Dietitian, Registered in Clifton, NJ

Active since May 09, 2024
155 HAZEL ST, CLIFTON, NJ 07011(973) 772-3700 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kyra Tywanick Rdn NPPES

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

KYRA TYWANICK RDN (NPI 1871341263) is an individual dietitian, registered in Clifton, New Jersey, licensed in New Jersey (86210089) and active in the NPI registry since May 2024. She maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1871341263
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKYRA TYWANICKCredential: RDN
Location Address155 HAZEL STClifton, NJ 07011-3423
Mailing Address21 Fieldstone DrClinton, NJ 08809-1390 · (908) 894-4561
Phone(973) 772-3700
Sole ProprietorNo
Enumeration DateMay 9, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1871341263 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 NJ · 86210089
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.
155 HAZEL ST, Clifton, NJ 07011
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Secondary Practice Location 1

Location 1254 Easton AveNew Brunswick, NJ 08901-1766 · Phone (732) 745-8600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyra Tywanick Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kyra Tywanick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bsh Health PA
13 mi
Dietitian, Registered
19 W 24TH ST FL 4
New York, NY 10010
  • Reassigned Medicare billing, New Jersey enrollment
  • 25 clinicians in this Medicare group
NPI 1679303465 (646) 389-5066

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 8

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

JOSE CABRERA
Physical Therapy Assistant
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 253-5255
DAUGHTERS OF MIRIAM
Skilled Nursing Facility
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 772-3700
INTEGRATIVE REHABILITATION ASSOCIATES LLC
Specialist
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 253-5255
MELISSA RUSLI D.O.
General Practice
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 253-5255
DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP
Internal Medicine (Geriatric Medicine)
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 253-5210
DAUGHTERS OF MIRIAM
Skilled Nursing Facility
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 772-3700
DAUGHTERS OF MIRIAM CENTER
Day Training/Habilitation Specialist
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 772-3700
HAZEL STREET OPERATIONS LLC
Skilled Nursing Facility
155 HAZEL ST
CLIFTON, NJ 07011
Passaic County (973) 772-3700

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 Kyra Tywanick's NPI number?

The NPI number for Kyra Tywanick is 1871341263. It was assigned to this individual provider in the NPPES registry on May 9, 2024.

Where is Kyra Tywanick located?

Kyra Tywanick practices at 155 Hazel St, Clifton, NJ 07011. The listed phone number is (973) 772-3700.

What is Kyra Tywanick's specialty?

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

Is Kyra Tywanick enrolled in Medicare?

Yes. Kyra Tywanick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyra Tywanick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyra Tywanick reassigns Medicare benefits to Bsh Health PA (New York, 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 Kyra Tywanick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyra Tywanick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Blue Cross and Blue Shield of Texas list Kyra Tywanick 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 Kyra Tywanick was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.