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JERRY TAN MS RD CDN NPI 1548857519


NPI Information

NPI: 1548857519
Provider Name: JERRY TAN, MS, RD, CDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
299 BROOME ST APT 9
NEW YORK, NY
ZIP 10002
Phone: (917) 781-5767
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Jerry Tan, MS, RD, CDN is a dietitian registered in New York, NY. The provider is 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. Jerry Tan, MS, RD, CDN NPI is 1548857519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

299 BROOME ST APT 9
NEW YORK, NY
ZIP 10002-729
Phone: (917) 781-5767

The enumeration date for this NPI number is 12/24/2020 and was last updated on 12/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered86063459NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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