Crystal Tineo, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1055317 Issued in NY

Practice address

51 Kensington Ave
Merrick, NY 11566-2331

Phone

(347) 255-6275

NPI assigned

Jan 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1275286353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KENSINGTON AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662331",
            "telephone_number": "347-255-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 KENSINGTON AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662331",
            "telephone_number": "347-255-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINEO",
        "first_name": "CRYSTAL",
        "credential": "RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "008159-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1055317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Teves
• Thomas M. Doxsee, OT, P.C.
• Allison M Tiberio, RPAC
• Nancy Ellen Tice, D.O
• Melissa Ann Tillman, PH.D.
• Marzia Tinwala
• Tiny Toes Service Coordination, LLC
• Christopher Titterton, DO
• Concettina Immacolata Tock, P.T.
• Deborah Kim Tolipano, MS ED

• Registered Dietitian in Merrick, NY
• Providers in Merrick, 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 Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.