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

Xiaofang Tan, RDN, CDN

Individual provider Registered Dietitian · NPI 1861113441

Xiaofang Tan, RDN, CDN is a Registered Dietitian OR Nutrition Professional in Bayside, New York. Qualified in 2021, 5 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

3347 213th St
Bayside, NY 11361-1560
Phone: (646) 639-5011
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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 011384 (NY)
Registered Dietitian Taxonomy 133V00000X · Licence 86290117 (NY)

Record details

NPI number1861113441
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , CDN
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Bayside