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

Vivian Tan, RD

Individual provider Registered Dietitian · NPI 1740906478

Vivian Tan, RD is a Registered Dietitian in Staten Island, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

165 Vanderbilt Ave
Staten Island, NY 10304-2521
Phone: (718) 616-0993
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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 01062601 (NY)

Record details

NPI number1740906478
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedOctober 14, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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