Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Tan, MS, RD, CDN

Individual provider Registered Dietitian · NPI 1548857519

Jerry Tan, MS, RD, CDN is a Registered Dietitian in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

299 Broome St Apt 9
New York, NY 10002-3729
Phone: (917) 781-5767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86063459 (NY)

Record details

NPI number1548857519
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , CDN
Sole proprietorYes
NPI enumeratedDecember 24, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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