Organization Active NPI

Marilyn Tucker Viselli Ms Rd CDN Inc

  • Nutritionist
  • New Rochelle, NY
National Provider Identifier
1962537274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
0007832 Issued in NY
Legal business name
MARILYN TUCKER VISELLI MS RD CDN INC
Practice address
140 Lockwood Ave
Suite 107
New Rochelle, NY 10801
Phone
(914) 632-1896
Fax
(914) 632-4284
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marilyn Tucker Viselli, MS RD CDNNPI 1659549285
Title
Owner
Phone
(914) 282-6801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 0007832 NY Primary

Addresses

Primary practice location

140 Lockwood Ave
Suite 107
New Rochelle, NY 10801

Mailing address

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

Other names 1

  • Marilyn Tucker Viselli MS RD CDN Former legal business name

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962537274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-632-1896",
            "fax_number": "914-632-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-632-1896",
            "fax_number": "914-632-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN TUCKER VISELLI MS RD CDN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER VISELLI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-282-6801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS RD CDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "0007832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marilyn Tucker Viselli MS RD CDN",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.