Maria Andrea Servellon

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

011646 Issued in NY

Practice address

88 Charleys PL
Bay Shore, NY 11706-8072

Phone

(516) 491-8240

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1225942527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CHARLEYS PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068072",
            "telephone_number": "516-491-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CHARLEYS PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068072",
            "telephone_number": "516-491-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVELLON",
        "first_name": "MARIA",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "011646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaycie Bueno Senase, P.T.
• Sentra Laboratories Inc/
• Robin B Septon, MD
• Serenemind NP in Adult Health &Psychiatry PLLC
• Serenemind NP in Adult Health &Psychiatry PLLC
• Gulshan Sethi
• John E. Seylar, DDS
• Nancy Lynn Sforza, SLP
• Ahmed Shabir, DO
• Kunal Shah, M.D

• Registered Dietitian in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.