Active NPI
I-Well Inc.
- Registered Dietitian
- Bayside, NY
National Provider Identifier
1295552446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- I-WELL INC.
- Practice address
- 3347 213TH St
Bayside, NY 11361-1560 - Phone
- (929) 777-4933
- NPI assigned
- Sep 20, 2024
- Last updated
- Sep 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiaofang Tan, RD
- Title
- Clinical Manager
- Phone
- (929) 777-4933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3347 213TH St
Bayside, NY 11361-1560
Mailing address
3347 213TH St
Bayside, NY 11361-1560
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Registered Dietitian
- Bayside, NY
- NPI 1861113441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1295552446",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I-WELL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "XIAOFANG",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "929-777-4933",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.