Provider Demographics
NPI:1932585726
Name:JIANG, XINYIN (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:XINYIN
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 THISTLE LN
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5564
Mailing Address - Country:US
Mailing Address - Phone:732-283-1900
Mailing Address - Fax:732-898-3951
Practice Address - Street 1:20 THISTLE LN
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5564
Practice Address - Country:US
Practice Address - Phone:732-283-1900
Practice Address - Fax:732-898-3951
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86006996133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered