Individual provider Active NPI

Marilyn Susan Tucker-Viselli, RD, CDE

  • Metabolic Nutrition Registered Dietitian
  • New Rochelle, NY
National Provider Identifier
1659549285
Registry record updated Feb 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
000783-2 Issued in NY
Practice address
140 Lockwood Ave
107
New Rochelle, NY 10801-4915
Phone
(914) 632-1896
NPI assigned
Feb 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X 000783-2 NY Primary

Addresses

Primary practice location

140 Lockwood Ave
107
New Rochelle, NY 10801-4915

Mailing address

140 Lockwood Ave
107
New Rochelle, NY 10801-4915
Phone (914) 632-1896

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000694 NY Practitioner - Registered Dietitian Or Nutrition Professional 5991964660 Practice locations: New Rochelle, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

173 Huguenot St
Suite 200
New Rochelle, NY 10801-7710
Phone (914) 632-1896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000783NYMDMarriage & Family Therapist
000783-2NYMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Docs Physicians Affiliated With Bimc Past Accepting new patients
Marilyn Tucker Viselli Ms Rd CDN Inc Past Accepting new patients

Organizations & group practices 2

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": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203206400000",
    "number": "1659549285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-632-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-632-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER-VISELLI",
        "first_name": "MARILYN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-17",
        "last_updated": "2008-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "000783-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; 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.