Active NPI
Pui Yan Tong, MS, RD
- Registered Dietitian
- Sunnyvale, CA
National Provider Identifier
1639705122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86018646
- Practice address
- 120 San Lucar CT
Sunnyvale, CA 94086-5213 - Phone
- (855) 816-7705
- NPI assigned
- Mar 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86018646 | NJ | Primary |
Addresses
Primary practice location
120 San Lucar CT
Sunnyvale, CA 94086-5213
Mailing address
14942 Lago Dr
Rancho Murieta, CA 95683-9532
Phone (732) 763-0173
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86018646 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1639705122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14942 LAGO DR",
"city": "RANCHO MURIETA",
"state": "CA",
"postal_code": "956839532",
"telephone_number": "732-763-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SAN LUCAR CT",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940865213",
"telephone_number": "855-816-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "PUI",
"middle_name": "YAN",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "86018646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.