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JACQUELINE COTUMACCIO RD
NPI 1487312351
Dietitian, Registered in Great Neck Plaza, NY

Active since December 07, 2021
55 CUTTERMILL RD, GREAT NECK PLAZA, NY 11021(516) 751-5736 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Cotumaccio Rd NPPES

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

JACQUELINE COTUMACCIO RD (NPI 1487312351) is an individual dietitian, registered in Great Neck Plaza, New York, licensed in New York (86209519) and active in the NPI registry since December 2021. She maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1487312351
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJACQUELINE COTUMACCIOCredential: RD
Location Address55 CUTTERMILL RDGreat Neck Plaza, NY 11021-3259
Mailing Address32 Highfield CtDix Hills, NY 11746-5713 · (516) 512-4076
Phone(516) 751-5736
Sole ProprietorYes
Enumeration DateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
✔ NPI 1487312351 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 · 86209519
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.
55 CUTTERMILL RD, Great Neck Plaza, NY 11021
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Secondary Practice Location 1

Location 11129 Northern Blvd Ste 404Manhasset, NY 11030-3022 · Phone (516) 751-5736

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Cotumaccio Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Ms Nutritional Wellness PLLC
1.5 mi
Dietitian, Registered
1129 NORTHERN BLVD STE 404
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1003446709 (516) 851-0401

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 3

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

PHYLICIA RUGGIERI MS, RD, CDN, CNSC
Dietitian, Registered
55 CUTTERMILL RD
GREAT NECK, NY 11021
Nassau County (516) 751-5736
SUSANNA CRICCHI
Dietitian, Registered
55 CUTTERMILL RD
GREAT NECK PLAZA, NY 11021
Nassau County (732) 768-1657
MYA ALEXIS LADIEU RDN, CDN
Dietitian, Registered
55 CUTTERMILL RD
GREAT NECK, NY 11021
Nassau County (516) 851-0401

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 Jacqueline Cotumaccio's NPI number?

The NPI number for Jacqueline Cotumaccio is 1487312351. It was assigned to this individual provider in the NPPES registry on December 7, 2021.

Where is Jacqueline Cotumaccio located?

Jacqueline Cotumaccio practices at 55 Cuttermill Rd, Great Neck Plaza, NY 11021. The listed phone number is (516) 751-5736.

What is Jacqueline Cotumaccio's specialty?

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

Is Jacqueline Cotumaccio enrolled in Medicare?

Yes. Jacqueline Cotumaccio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Cotumaccio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Cotumaccio reassigns Medicare benefits to Ms Nutritional Wellness PLLC (Manhasset, 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 Jacqueline Cotumaccio'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 Jacqueline Cotumaccio was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.