I-Well Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

I-WELL INC.

Practice address

3347 213TH St
Bayside, NY 11361-1560

Phone

(929) 777-4933

NPI assigned

Sep 20, 2024

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• 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 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.

Verify at the official NPI Registry.