Individual provider Active NPI

Denise Serrano, RD CDN

  • Registered Dietitian
  • Suffern, NY
National Provider Identifier
1386621993
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000351-1 Issued in NY
Practice address
2 Executive Blvd
Ste 203
Suffern, NY 10901-4164
Phone
(845) 357-0166
Fax
(845) 357-0249
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000351-1 NY Primary

Addresses

Primary practice location

2 Executive Blvd
Ste 203
Suffern, NY 10901-4164

Mailing address

2 Executive Blvd
Ste 203
Suffern, NY 10901-4164
Phone (845) 357-0166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000351-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Saka Associates Inc. Dietitian, Registered PastSince Apr 23, 2019 Accepting new patients
Howard G Hindin and Jeffrey S. Hindin DDS PC Past Accepting new patients
Sharon Saka Associates Past Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. PastSince Jan 1, 2012 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386621993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "STE 203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-357-0166",
            "fax_number": "845-357-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "STE 203",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-357-0166",
            "fax_number": "845-357-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "DENISE",
        "credential": "RD CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "000351-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.