Organization Active NPI

New York Dietetics and Nutrition PLLC

  • Registered Dietitian
  • Commack, NY
National Provider Identifier
1669299053
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NEW YORK DIETETICS AND NUTRITION PLLC
Practice address
358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326
Phone
(516) 441-9013
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Shana MaleeffNPI 1477902948
Title
Owner
Phone
(215) 776-0389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

358 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4326

Mailing address

30 Walter CT
Commack, NY 11725-3602

Other practice location 1

251 New Karner Rd
Albany, NY 12205-4627
Phone (516) 441-9013

Other practice location 2

8 Carstensen Rd
Scarsdale, NY 10583-4300
Phone (516) 411-9013

Other practice location 3

30 Walter Ct
Commack, NY 11725-3602
Phone (516) 441-9013

Other practice location 4

139 Orange St
New Haven, CT 06510-3140
Phone (516) 441-9013

Other practice location 5

400 S Oyster Bay Rd Ste 300
Hicksville, NY 11801-3500
Phone (516) 441-9013

Other practice location 6

150 Broadhollow Rd Ste 102
Melville, NY 11747-4901
Phone (516) 441-9013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118003491 NY Part B Supplier - Clinic/Group Practice 8224563929 Receives reassigned benefits from 17 practitioners
Practice locations: Commack, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1669299053",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 10",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "516-441-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 New Karner Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122054627",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Carstensen Rd",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105834300",
            "country_code": "US",
            "telephone_number": "516-411-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Walter Ct",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253602",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Orange St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103140",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Oyster Bay Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013500",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Broadhollow Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474901",
            "country_code": "US",
            "telephone_number": "516-441-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK DIETETICS AND NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MALEEFF",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-776-0389"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.