Active NPI
Anthony Ciricillo
- Family Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 324636
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (188) 878-5637
- NPI assigned
- Mar 20, 2019
- Last updated
- Dec 15, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 324636 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
22 Morse PL
Belleville, NJ 07109-1555
Phone (201) 618-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 James St
Syracuse, NY 13203-2730
Phone 31547244711384
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324636 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Medical PC | Family Medicine | Current | Accepting new patients |
| St Josephs Medical PC | Family Medicine | Current | Accepting new patients |
| St Joseph's Hospital Health Center | Family Medicine | Current | Accepting new patients |
| St. Joseph's Pathology, PC | Current | Accepting new patients | |
| Liberty Resources Inc. | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Liberty Resources, Inc. | Current | Accepting new patients | |
| Liberty Resources, Inc. | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Onondaga Pastoral Counseling Center | Past | Accepting new patients |
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
1045 James St
Syracuse, NY 13203
Phone (315) 425-1004
Interoperability endpoints
- aciricillo4038919@direct.trinity-health.org
- anthony.ciricillo.p1@direct.liberty-resources.nextgenshare.com
- alciricillo@direct.sarh.kobledirect.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Syracuse, NY
- NPI 1225254881
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Substance Abuse Rehabilitation Facility
- Syracuse, NY
- NPI 1639729452
-
- Federally Qualified Health Center (FQHC)
- Fulton, NY
- NPI 1700688827
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
Family Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Syracuse, NY
- NPI 1235121575
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
-
- Community/Behavioral Health Agency
- Syracuse, NY
- NPI 1518153477
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1194285916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MORSE PL",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071091555",
"telephone_number": "201-618-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "188-878-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIRICILLO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "324636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.