Malta Angelica Cirino, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

7166 Issued in NY

Practice address

1751 Park Avenue
Bailey House Oasas Clinic
New York, NY 10035

Phone

(212) 991-4994

Fax

(212) 414-1431

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Housing Works Health Services III, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1114950151
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1225567985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 PARK AVE APT 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293536",
            "telephone_number": "646-271-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 PARK AVENUE",
            "address_2": "BAILEY HOUSE OASAS CLINIC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-991-4994",
            "fax_number": "212-414-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRINO",
        "first_name": "MALTA",
        "middle_name": "ANGELICA",
        "name_prefix": "Ms.",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "7166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cirillo
• Matthew Cirillo, PA
• Robyn Cirillo, MA
• Anthony J Cirincione, PHARMD
• Carl Cirino
• Rafael Cirino
• R. Benyamin Cirlin, MSW
• Dianne Ciro, LCSW
• Thomas J Cirolia, LCSW
• Frank Cirrone, PHARMD

• Addiction (Substance Use Disorder) Counselor in New York, NY
• Providers in New York, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.