Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Rose Petrocelli, RD

Individual provider Metabolic Nutrition Registered Dietitian · NPI 1568839421

Nicole Rose Petrocelli, RD is a Metabolic Nutrition Registered Dietitian in Miller Place, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
6
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

24 Heritage Ln N
Miller Place, NY 11764-3316 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 327-7934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1057815 (NY)
Metabolic Nutrition Registered Dietitian Taxonomy 133VN1006X · Licence 1057815 (NY)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 1057815 (NY)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence 1057815 (NY)
Nutritionist Taxonomy 133N00000X · Licence 1057815 (NY)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence 1057815 (NY)

Record details

NPI number1568839421
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 27, 2015
Last updated in NPPESAugust 27, 2015