Nutriall Wellness Center LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRIALL WELLNESS CENTER LLC

Doing business as

Nutriall Wellness Center

Practice address

3347 213TH St
Bayside, NY 11361-1560

Phone

(929) 777-4933

Fax

(888) 370-1981

NPI assigned

Sep 13, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xiaofang TanNPI 1861113441

Title

Registered Dietitian

Phone

(929) 777-4933

Specialties & licenses 2

Addresses

Other names 1

• NUTRIALL WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiaofang Tan, RDN, CDN

  • Registered Dietitian
  • Bayside, NY
  • NPI 1861113441

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Alexandra Rodiles, RDN, CDN

  • Registered Dietitian
  • Mineola, NY
  • NPI 1720867955

  Dietitian, Registered

  Medicare reassignment NPD
• Shimin Cao, M.D. PH.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1922100213
  NPD (past)
• Chunying Shao, NP

  • Nurse Practitioner
  • Flushing, NY
  • NPI 1013746668
  NPD (past)
• Bingqing Wu

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1053135368
  NPD (past)
• Haiyan Zou, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1154206290
  NPD (past)
• Siqian Chen, RD

  • Registered Dietitian
  • Fall River, MA
  • NPI 1619699055

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1053033365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 213TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611560",
            "telephone_number": "929-777-4933",
            "fax_number": "888-370-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 213TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611560",
            "telephone_number": "929-777-4933",
            "fax_number": "888-370-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIALL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "XIAOFANG",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "929-777-4933"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUTRIALL WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diana Antunes Nunes
• Grace Nunez-Russotto, MD
• Jacqueline A Nunez
• David Paul Nupp, PT
• Anora Nuritdinova, PHARMD
• Ny Core Physical Therapy, PC
• Ny Premier Cardiology PC
• Ny Priority Medical Care PLLC
• Nyc Fly Wheels Inc.
• Nyeeqasc,LLC (North Queens Surgical Center)

• Registered Dietitian in Bayside, NY
• Providers in Bayside, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.