Active NPIIndividual provider

Tina Chen Yan, MS, RDN, CDN

Nutritionist in New York, New York

NPI Number1124493929
Practice location
375 Grand St, New York, NY 10002-3951
Fax
—
Last updated
September 10, 2026

Tina Chen Yan is a Nutritionist based in New York, NY. Tina Chen Yan practices in New York, NY and has the professional credentials of MS, RDN, CDN. The NPI Number for Tina Chen Yan is 1124493929 and holds a License No. 008507 (NY). The current practice location address for Tina Chen Yan is 375 Grand St, New York, NY 10002-3951 and can be reached out via phone at 212-260-3640.

Provider Profile Details

NPI Number
1124493929
Provider Name
Tina Chen Yan
Credential
MS, RDN, CDN
Provider Entity Type
Individual
Gender
Female
Address
375 Grand St, New York, NY 10002-3951
Phone Number
212-260-3640
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
No
Provider Enumeration Date
December 4, 2015
Last Update Date
September 10, 2026
Certification Date
September 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Grand St
New York, NY 10002-3951
Zip
10002-3951
Phone Number
212-260-3640
New York, NY 10002Get directions →

Provider Business Mailing Address Details

Address
375 Grand St
New York, NY 10002-3951
City
New York
State
NY
Zip
10002-3951
Phone Number
212-260-3640

License Information

License Number (1)
008507
License State (1)
NY
Taxonomy (1)
Nutritionist · 133N00000X · Primary
License Number (2)
863887
License State (2)
NY
Taxonomy (2)
Dietitian, Registered · 133V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tina Chen Yan, MS, RDN, CDN?

The NPI number of Tina Chen Yan, MS, RDN, CDN is 1124493929. It was assigned on December 4, 2015 and is currently active in the NPPES registry.

What is the specialty of Tina Chen Yan, MS, RDN, CDN?

Tina Chen Yan, MS, RDN, CDN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in NY under license number 008507.

Where does Tina Chen Yan, MS, RDN, CDN practice?

The practice location is 375 Grand St, New York, NY 10002-3951. The office can be reached at 212-260-3640 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124493929 directly on the NPPES registry website.

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