Active NPI
Barbie Ann Cervoni, RD, CDE
- Registered Dietitian
- Merrick, NY
National Provider Identifier
1831492719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 006923-1
- Practice address
- 75 Van Nostrand Ave
Merrick, NY 11566-2138 - Phone
- (516) 859-8592
- NPI assigned
- Dec 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 006923-1 | NY | Primary |
| Health Educator | 174H00000X | 21110073 | NY |
Addresses
Primary practice location
75 Van Nostrand Ave
Merrick, NY 11566-2138
Mailing address
75 Van Nostrand Ave
Merrick, NY 11566-2138
Phone (516) 859-8592
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21110073 | NY | MD | Health Educator |
| 006923-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1831492719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 VAN NOSTRAND AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115662138",
"telephone_number": "516-859-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 VAN NOSTRAND AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115662138",
"telephone_number": "516-859-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVONI",
"first_name": "BARBIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "006923-1",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "21110073",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.