Nicole Ann Ciullo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

959622 Issued in NJ

Practice address

230 N Maple Ave, Suite B-10
Marlton, NJ 08053-9400

Phone

(215) 637-3100

NPI assigned

Dec 7, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675

  PA

  Medicare reassignment Care Compare group NPD
• Kennedy Medical Group Practice, P.C.

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1952726796

  NJ

  Medicare reassignment NPD
• Jefferson University Physicians

  • Dermatology Physician
  • Greenville, DE
  • NPI 1295011419
  Care Compare group
• Kennedy Medical Group Practice PC

  • Family Medicine Physician
  • Sewell, NJ
  • NPI 1952848905
  NPD
• Salveo LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Voorhees, NJ
  • NPI 1689033789
  NPD
• Kennedy Medical Group Practice P.C.

  • Family Medicine Physician
  • West Deptford, NJ
  • NPI 1952615981
  NPD (past)
• Restore Physical Therapy, LLC

  • Physical Therapist
  • Marlton, NJ
  • NPI 1174531842
  NPD (past)
• Jefferson University Physicians

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)
• Parkwood Medical Practice PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1861516528
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1366745762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAKEFIELD DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535320",
            "telephone_number": "856-520-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE, SUITE B-10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539400",
            "telephone_number": "215-637-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIULLO",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "959622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-NJ PTAN",
            "identifier": "469427",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cil Therapy LLC
• Amanda Lynn Cioffi, RPA-C
• Circle Medical Care Group of New Jersey PC
• Circle Medical Care Group PA
• Alyssa Cirucci, PA-C
• Clarity and Wellness LLC
• Margaret C Clark Soriano
• Alyssa Clark
• Michael Clay, MSC
• Clear Direction Recovery Centers, LLC

• All providers in Marlton, NJ
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.