Nicole Amanda Servidio

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

4131 Richmond Ave
Staten Island, NY 10312-5633

Phone

(718) 351-0308

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1962081570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHARLESTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091608",
            "telephone_number": "917-573-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125633",
            "telephone_number": "718-351-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIDIO",
        "first_name": "NICOLE",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Serio, PA
• Lauren Serpico, M.S., CCC-SLP
• Maria Serrano-Miranda, MS,OTR/L
• Eli Serur, MD
• Danielle Alexis Servidio, PHARMD
• Kadiatu Sesay
• Lilly Aminata Sesay, LPN
• Kayla Marie Sesny, LMSW
• Krysten Michele Setaro
• Lisa C Sether, DVM

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.