Active NPI
Tina Chen Yan, MS,RDN, CDN
- Nutritionist
- New York, NY
National Provider Identifier
1124493929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 008507
- Practice address
- 375 Grand St
New York, NY 10002-3951 - Phone
- (212) 260-3640
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 008507 | NY | Primary |
| Registered Dietitian | 133V00000X | 863887 | NY |
Addresses
Primary practice location
375 Grand St
New York, NY 10002-3951
Mailing address
375 Grand St
New York, NY 10002-3951
Phone (212) 260-3640
Other practice location 1
268 Canal St
New York, NY 10013-3599
Phone (212) 966-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 863887 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles B. Wang Community Health Center, Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1417261298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1124493929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 GRAND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023951",
"telephone_number": "212-260-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 GRAND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023951",
"telephone_number": "212-260-3640"
}
],
"practiceLocations": [
{
"address_1": "268 Canal St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100133599",
"country_code": "US",
"telephone_number": "212-966-0228",
"fax_number": "212-379-6935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN YAN",
"first_name": "TINA",
"credential": "MS,RDN, CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "008507",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "863887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.