Individual provider Active NPI

Vivian Moran, MS NUTRITION

  • Nutritionist
  • Bronx, NY
National Provider Identifier
1710743240
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
4730 Independence Ave
Bronx, NY 10471-3225
Phone
(917) 319-6722
NPI assigned
Feb 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

4730 Independence Ave
Bronx, NY 10471-3225

Mailing address

4730 Independence Ave
Bronx, NY 10471-3225
Phone (917) 319-6722

Other practice location 1

4730 Independence Ave
Bronx, NY 10471-3225
Phone (917) 319-6722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528003116 NY Practitioner - Registered Dietitian Or Nutrition Professional 9133699382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

578 Nepperhan Ave
Suite 534
Yonkers, NY 10701-6600
Phone (914) 230-0922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
U8 LLC Nutritionist CurrentSince Mar 28, 2026 Accepting new patients

Locations

578 Nepperhan Ave
Ste 534
Yonkers, NY 10701
Phone (917) 319-6722

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1710743240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713225",
            "telephone_number": "917-319-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713225",
            "telephone_number": "917-319-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4730 Independence Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104713225",
            "country_code": "US",
            "telephone_number": "917-319-6722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "MS NUTRITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "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 Feb 22, 2024; 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.