Active NPI
Shana R Maleeff, MA, RD, CDN
- Registered Dietitian
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 916084
- Practice address
- 200 Broadhollow Rd
Ste 207
Melville, NY 11747-4806 - Phone
- (215) 776-0389
- NPI assigned
- Jun 6, 2016
- Last updated
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 916084 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Dietetics and Nutrition PLLC | Dietitian, Registered | Current | 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.
-
- Registered Dietitian
- Commack, NY
- NPI 1669299053
Dietitian, Registered
-
- Registered Dietitian
- Hicksville, NY
- NPI 1942199872
Dietitian, Registered
-
- Registered Dietitian
- Commack, NY
- NPI 1861954224
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
dba Aria Health Physician Services - Bucks Surgery
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
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.