Active NPIIndividual providerSole proprietor

Marcella M Modugno, MS, RD, CDCES, CDN

Dietitian, Registered in Seymour, Connecticut

NPI Number1093515843
Practice location
136 West St, Seymour, CT 06483-2642
Fax
—
Last updated
March 19, 2025

Marcella Marie Modugno is a Dietitian, Registered based in Seymour, CT. Marcella Marie Modugno practices in Seymour, CT and has the professional credentials of MS, RD, CDCES, CDN. The NPI Number for Marcella Marie Modugno is 1093515843 and holds a License No. 1899 (CT). The current practice location address for Marcella Marie Modugno is 136 West St, Seymour, CT 06483-2642 and can be reached out via phone at 203-906-4255.

Provider Profile Details

NPI Number
1093515843
Provider Name
Marcella Marie Modugno
Credential
MS, RD, CDCES, CDN
Provider Entity Type
Individual
Gender
Female
Address
136 West St, Seymour, CT 06483-2642
Phone Number
203-906-4255
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 19, 2025
Last Update Date
March 19, 2025
Certification Date
March 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 West St
Seymour, CT 06483-2642
Zip
06483-2642
Phone Number
203-906-4255
Seymour, CT 06483Get directions →

Provider Business Mailing Address Details

Address
136 West St
Seymour, CT 06483-2642
City
Seymour
State
CT
Zip
06483-2642
Phone Number
203-906-4255

License Information

License Number
1899
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marcella M Modugno, MS, RD, CDCES, CDN?

The NPI number of Marcella M Modugno, MS, RD, CDCES, CDN is 1093515843. It was assigned on March 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Marcella M Modugno, MS, RD, CDCES, CDN?

Marcella M Modugno, MS, RD, CDCES, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1899.

Where does Marcella M Modugno, MS, RD, CDCES, CDN practice?

The practice location is 136 West St, Seymour, CT 06483-2642. The office can be reached at 203-906-4255 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093515843 directly on the NPPES registry website.

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