Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Tatiana Kidanov, MS, RD, CDN, CDCES

Individual provider Metabolic Nutrition Registered Dietitian · NPI 1871775171

Tatiana Kidanov, MS, RD, CDN, CDCES is a Metabolic Nutrition Registered Dietitian in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

36 Borman Ave
Staten Island, NY 10314-4957
Phone: (917) 721-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence 006762 (NY)

Record details

NPI number1871775171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDN , CDCES
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients14
Services billed 45 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.