Individual provider Active NPI

Ethan Joseph Ciment, D.P.M.

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1124171806
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005936 Issued in NY
Practice address
37 W 20TH St
Suite 308
New York, NY 10011-3706
Phone
(646) 929-4149
Fax
(347) 577-9457
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N005936 NY Primary

Addresses

Primary practice location

37 W 20TH St
Suite 308
New York, NY 10011-3706

Mailing address

37 W 20TH St
Suite 308
New York, NY 10011-3706
Phone (646) 929-4149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005936NYMDFoot Surgery Podiatrist
005936NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bisher Akil MD a Medical Corp Past Accepting new patients
Chelsea Village Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eciment@cfaap-ny.direct.office.nextgen.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1124171806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W 20TH ST",
            "address_2": "SUITE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113706",
            "telephone_number": "646-929-4149",
            "fax_number": "347-577-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 20TH ST",
            "address_2": "SUITE 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113706",
            "telephone_number": "646-929-4149",
            "fax_number": "347-577-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMENT",
        "first_name": "ETHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.