Active NPI
Thomas Cerillo, D.P.M.
- Podiatrist
- Bronxville, NY
National Provider Identifier
1073611836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002655
- Practice address
- 116 Kraft Avenue
Bronxville, NY 10708-4182 - Phone
- (914) 337-1251
- Fax
- (914) 793-7473
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002655 | NY | Primary |
Addresses
Primary practice location
116 Kraft Avenue
Bronxville, NY 10708-4182
Mailing address
PO Box 188
Bronxville, NY 10708-4182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1073611836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107084182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 KRAFT AVENUE",
"city": "BRONXVILLE",
"state": "NY",
"postal_code": "107084182",
"telephone_number": "914-337-1251",
"fax_number": "914-793-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERILLO",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronxville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.