Organization Active NPI

Cirillo Center for Plastic Surgery

  • Plastic Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1184019176
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD046466L Issued in PA
Legal business name
CIRILLO CENTER FOR PLASTIC SURGERY
Practice address
919 Conestoga Rd
BLDG 2, Suite 105
Bryn Mawr, PA 19010-1352
Phone
(610) 525-0500
Fax
(610) 525-2575
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Victoria A Cirillo Hyland, M.D.NPI 1356349377
Title
Owner
Phone
(610) 525-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD046466L PA Primary

Addresses

Primary practice location

919 Conestoga Rd
BLDG 2, Suite 105
Bryn Mawr, PA 19010-1352

Mailing address

919 Conestoga Rd
BLDG 2, Suite 105
Bryn Mawr, PA 19010-1352
Phone (610) 525-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150624000806 PA Part B Supplier - Clinic/Group Practice 1153632666 Receives reassigned benefits from 1 practitioner
Practice locations: Bryn Mawr, PA

National Provider Directory

National Provider Directory

Locations

919 Conestoga Rd
Ste 105
Bryn Mawr, PA 19010

919 Conestoga Rd
Ste 2-105
Bryn Mawr, PA 19010
Phone (610) 525-0500

919 Conestoga Rd
Ste 2-307
Bryn Mawr, PA 19010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1184019176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BLDG 2, SUITE 105",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-0500",
            "fax_number": "610-525-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BLDG 2, SUITE 105",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-525-0500",
            "fax_number": "610-525-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRILLO CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "CIRILLO HYLAND",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-525-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD046466L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.