MARIELLE ZUCCOLO RDN
NPI 1154876605
Dietitian, Registered in Vestal, NY

Active since August 24, 2016
213 TRACY CREEK RD, VESTAL, NY 13850(607) 786-9063 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marielle Zuccolo Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIELLE ZUCCOLO RDN (NPI 1154876605) is an individual dietitian, registered in Vestal, New York, licensed in New York (006951-1) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1154876605
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARIELLE ZUCCOLOCredential: RDN
Location Address213 TRACY CREEK RDVestal, NY 13850-1062
Mailing Address249 Glenwood RdBinghamton, NY 13905-1603
Sole ProprietorNo
Enumeration DateAugust 24, 2016
✔ NPI 1154876605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 006951-1
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
213 TRACY CREEK RD, Vestal, NY 13850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marielle Zuccolo Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Marielle Zuccolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Developmental Disabilities
305 MAIN ST
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 342 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
213 TRACY CREEK RD
VESTAL, NY 13850
Dietitian, Registered
213 TRACY CREEK RD
VESTAL, NY 13850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marielle Zuccolo's NPI number?

The NPI number for Marielle Zuccolo is 1154876605. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Marielle Zuccolo located?

Marielle Zuccolo practices at 213 Tracy Creek Rd, Vestal, NY 13850. The listed phone number is (607) 786-9063.

What is Marielle Zuccolo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Marielle Zuccolo enrolled in Medicare?

Yes. Marielle Zuccolo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marielle Zuccolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marielle Zuccolo reassigns Medicare benefits to State Of New York Comptrollers Office (Binghamton, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marielle Zuccolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marielle Zuccolo was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.