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

MS. Vivian Moran, MSNUTRITION

Individual provider Nutritionist · NPI 1710743240

MS. Vivian Moran, MSNUTRITION is a Registered Dietitian OR Nutrition Professional in Bronx, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
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Practice location Address checks out

4730 Independence Ave
Bronx, NY 10471-3225
Phone: (917) 319-6722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1710743240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNUTRITION
Sole proprietorYes
NPI enumeratedFebruary 22, 2024
Last updated in NPPESFebruary 22, 2024
Certification dateDecember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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