Individual provider Active NPI

Iyona Chandran, RD

  • Registered Dietitian
  • Bronx, NY
National Provider Identifier
1255774667
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1099377 Issued in NY
Practice address
324 East 149TH Street
Narco Freedom Neighborhood and Families
Bronx, NY 10451
Phone
(917) 645-0258
NPI assigned
Apr 16, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1099377 NY Primary

Addresses

Primary practice location

324 East 149TH Street
Narco Freedom Neighborhood and Families
Bronx, NY 10451

Mailing address

5611 94TH St
Apt 5H
Elmhurst, NY 11373-5080
Phone (516) 244-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317000640 NY Practitioner - Registered Dietitian Or Nutrition Professional 0446535249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

324 E 149TH St
Bronx, NY 10451-5602
Phone (718) 665-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1099377NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud, Inc CurrentSince Dec 27, 2016 Accepting new patients
La Casa de Salud, Inc CurrentSince Dec 27, 2016 Accepting new patients
Nysarc Inc New York City Chapter CurrentSince Mar 1, 2024 Accepting new patients
La Casa de Salud Inc. Current Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

262 E 174th St
Bronx, NY 10457
Phone (718) 299-6910

324 E 149th St
Bronx, NY 10451
Phone (718) 585-6100

915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

83 Maiden Ln
Fl 8
New York, NY 10038
Phone (212) 895-3477

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1255774667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 94TH ST",
            "address_2": "APT 5H",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735080",
            "telephone_number": "516-244-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 EAST 149TH STREET",
            "address_2": "NARCO FREEDOM NEIGHBORHOOD AND FAMILIES",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "917-645-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "IYONA",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1099377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.