Marta Cyzio, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME98830 Issued in FL

Practice address

1368 Tipperary Dr
Melbourne, FL 32940-6030

Phone

(321) 213-5625

NPI assigned

May 4, 2007

Last updated

Jan 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1023220605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 TIPPERARY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406030",
            "telephone_number": "321-213-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 TIPPERARY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406030",
            "telephone_number": "321-213-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYZIO",
        "first_name": "MARTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Patricia-Wuchte Cusumano
• Justin Cusumano, MA
• Eric Cuthbert, CRNA
• Nikolina Cvetkovska
• Chiaki Cyr, OTR L
• Karen Czarniak
• D Badolato PA (Premier Urgent CareBadolato Family Health)
• Averi D'Anna, LMHC
• Jared Saber D'Avi, CRNA
• Kali Rae D'Onofrio, D.O.

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.