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
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
Mailing address24 Heritage Ln N, Miller Place, NY 11764-3316