Individual provider Active NPI

Shana R Maleeff, MA, RD, CDN

  • Registered Dietitian
  • Melville, NY
National Provider Identifier
1477902948
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
916084 Issued in NY
Practice address
200 Broadhollow Rd
Ste 207
Melville, NY 11747-4806
Phone
(215) 776-0389
NPI assigned
Jun 6, 2016
Last updated
May 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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 916084 NY Primary

Addresses

Primary practice location

200 Broadhollow Rd
Ste 207
Melville, NY 11747-4806

Mailing address

30 Walter CT
Commack, NY 11725-3602
Phone (215) 776-0389

Other practice location 1

400 South Oyster Road
Suite 300
Hicksville, NY 11801-1180
Phone (631) 203-8133

Other practice location 2

358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326
Phone (631) 203-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000187 NY Practitioner - Registered Dietitian Or Nutrition Professional 8123911179 Reassigns benefits to 1 organization
Practice locations: Commack, NY; Hicksville, NY; Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Dietetics and Nutrition PLLCGroup PAC ID 8224563929, 13 clinicians

Practice addresses (Care Compare)

358 Veterans Memorial Hwy
Suite 10
Commack, NY 11725-4326
Phone (516) 441-9013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
916084NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New York Dietetics and Nutrition PLLC Dietitian, Registered CurrentSince Sep 24, 2024 Accepting new patients
Nourished Nutrition Counseling, PLLC Dietitian, Registered Current Accepting new patients
Aria Health Physician Services Past Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

157 Church St
New Haven, CT 06510
Phone (203) 479-0473

358 Veterans Memorial Hwy
Ste 10
Commack, NY 11725
Phone (516) 441-9013

400 S Oyster Bay Rd
Ste 300
Hicksville, NY 11801
Phone (215) 776-0389

150 Broadhollow Rd
Ste 102
Melville, NY 11747
Phone (215) 776-0389

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1477902948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WALTER CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253602",
            "telephone_number": "215-776-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADHOLLOW RD",
            "address_2": "STE 207",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474806",
            "telephone_number": "215-776-0389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 South Oyster Road",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118011180",
            "country_code": "US",
            "telephone_number": "631-203-8133",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 Veterans Memorial Hwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117254326",
            "country_code": "US",
            "telephone_number": "631-203-8133",
            "fax_number": "833-734-1553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEEFF",
        "first_name": "SHANA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "916084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.