Active NPI
Cynthia Cichanowicz, ANP-C
- Adult Health Nurse Practitioner
- Riverhead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F303361
- Practice address
- 1333 E Main St
Riverhead, NY 11901-1524 - Phone
- (631) 727-8827
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303361 | NY | Primary |
Addresses
Primary practice location
1333 E Main St
Riverhead, NY 11901-1524
Mailing address
235 N Belle Mead Rd
East Setauket, NY 11733-3456
Phone (631) 751-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02339691 | Medicaid | NY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
896 Old Country Rd
Riverhead, NY 11901-2154
Phone (631) 846-5200
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.07 of 100
- Quality
- 57.91
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 80.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303192 | NY | MD | Emergency Medicine Physician |
| F303361 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Bay Primary Medical Care | Current | Accepting new patients | |
| North Shore Health System Medical Faculty Group Practice Inc | Current | Accepting new patients | |
| Central Suffolk Hospital | Current | Accepting new patients | |
| Long Island Physician Associates, PLLC | Current | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
285 Sills Rd
Bldg 17
East Patchogue, NY 11772
Phone (631) 654-5566
450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000
300 Community Dr
Plandome, NY 11030
70 N Country Rd
Ste 203
Prt Jefferson, NY 11777
Phone (631) 744-3611
896 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-5469
34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ccichanowicz61097@northwell.direct-ci.com
Organizations & group practices 5
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.
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Hospitalist Physician
- Riverhead, NY
- NPI 1043402050
-
- Surgery Physician
- Port Jefferson, NY
- NPI 1871906941
-
- Internal Medicine Physician
- Mattituck, NY
- NPI 1487620613
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1194892224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N BELLE MEAD RD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333456",
"telephone_number": "631-751-3000",
"fax_number": "631-675-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119011524",
"telephone_number": "631-727-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICHANOWICZ",
"first_name": "CYNTHIA",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02339691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.