Tatiana Kidanov, MS,RD,CDN,CDCES

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

006762 Issued in NY

Practice address

36 Borman Ave
Staten Island, NY 10314-4957

Phone

(917) 721-4494

NPI assigned

Nov 29, 2007

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

99.01 of 100Reported as group

Quality

98.39

Promoting interoperability

100

Improvement activities

40

Cost

78.31

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

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

• MBD Care LLC

  • Clinic/Center
  • Staten Island, NY
  • NPI 1538042650
  Medicare reassignment NPD Authorized official
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Voorhies Nephrology Medical PC

  • Specialist
  • Brooklyn, NY
  • NPI 1295772424
  Medicare reassignment NPD
• Manalapan Medical Center PA PC

  dba Endocrinology Associates of New Jersey

  • Endocrinology, Diabetes & Metabolism Physician
  • Manalapan, NJ
  • NPI 1821225137

  NY

  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• KS Medical, PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1295131506
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1871775171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BORMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "917-721-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BORMAN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144957",
            "telephone_number": "917-721-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANOV",
        "first_name": "TATIANA",
        "credential": "MS,RD,CDN,CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "006762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Khudaynatova
• Farah Khurshid, MD
• Inna Khval, MD
• Lisette Luzolo Kiadidi, MD
• Genell Marie Kianes, LMHC
• Kidney and Hypertension Medicine, P.C.
• Kids Connect USA Inc (Kids Connect USA)
• Kids Dental of Staten Island, PC
• Kids Dental, P.C.
• Kidspark SH Inc

• Metabolic Nutrition Registered Dietitian in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.