Mrs Nicole Ann Ciullo, RD - Medicare Dietitian in Marlton, NJ

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Mrs Nicole Ann Ciullo, RD is a medicare enrolled "Dietitian, Registered" provider in Marlton, New Jersey. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Kennedy Medical Group Practice, P.c. and her current practice location is 230 N Maple Ave, Suite B-10, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (215) 637-3100.

Mrs Nicole Ann Ciullo is licensed to practice in New Jersey (license number 959622) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366745762.

Contact Information

Mrs Nicole Ann Ciullo, RD
230 N Maple Ave, Suite B-10,
Marlton, NJ 08053-9400
(215) 637-3100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Nicole Ann Ciullo
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience20 Years
Location230 N Maple Ave, Suite B-10, Marlton, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Nicole Ann Ciullo graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1366745762
  • Provider Enumeration Date: 12/07/2010
  • Last Update Date: 03/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5294996963
  • Enrollment ID: I20160127000918

Medical Identifiers

Medical identifiers for Mrs Nicole Ann Ciullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366745762NPI-NPPES
469427OtherNJMEDICARE-NJ PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 959622 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Medical Group Practice, P.c.2860616877310

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Nicole Ann Ciullo allows following entities to bill medicare on her behalf.
Provider NameKennedy Medical Group Practice, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952726796
PECOS PAC ID: 2860616877
Enrollment ID: O20140613000689
Provider NameSalveo Weight Management
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902368335
PECOS PAC ID: 2264769371
Enrollment ID: O20190813001521
Provider NameDiamond Nutrition Counseling, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437794310
PECOS PAC ID: 0941637599
Enrollment ID: O20200221000095

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Ann Ciullo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Nicole Ann Ciullo, RD
8 Lakefield Dr,
Marlton, NJ 08053-5320

Ph: (856) 520-5031		Mrs Nicole Ann Ciullo, RD
230 N Maple Ave, Suite B-10,
Marlton, NJ 08053-9400

Ph: (215) 637-3100

Reviews and Comments


Dietitian, Registered in Marlton, NJ

Lisa A. Staas-houser, MS, RD
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Melissa Parisi,
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Phone: 856-335-4118    
Ms. Barbara M. Darcy, RD
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Pearl Tu,
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Eat Well, Live Better Llc
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Medicare: Medicare Enrolled
Practice Location: 750 Route 73 S, Suite 309a & 310a, Marlton, NJ 08053
Phone: 804-399-5060    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.