Individual provider Active NPI

Marcella Marie Modugno, MS, RD, CDCES, CDN

  • Registered Dietitian
  • Seymour, CT
National Provider Identifier
1093515843
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1899 Issued in CT
Practice address
136 West St
Seymour, CT 06483-2642
Phone
(203) 906-4255
NPI assigned
Mar 19, 2025
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 1899 CT Primary

Addresses

Primary practice location

136 West St
Seymour, CT 06483-2642

Mailing address

136 West St
Seymour, CT 06483-2642
Phone (203) 906-4255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260209002763 CT Practitioner - Registered Dietitian Or Nutrition Professional 5991284044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

136 W St
Seymour, CT 06483-2642

2211 Congress St
Portland, ME 04102-1941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1899CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Jan 1, 2026 Accepting new patients
Bridgeport Hospital CurrentSince Jan 1, 2026 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1093515843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WEST ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832642",
            "telephone_number": "203-906-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WEST ST",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832642",
            "telephone_number": "203-906-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODUGNO",
        "first_name": "MARCELLA",
        "middle_name": "MARIE",
        "credential": "MS, RD, CDCES, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.