Individual provider Active NPI

Cicily Scarano, MSED

  • Specialist
  • Glendale, NY
National Provider Identifier
1235558495
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
817593141 Issued in NY
Practice address
8866 Myrtle Ave
Glendale, NY 11385-7857
Phone
(718) 850-0400
Fax
(718) 850-4441
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 817593141 NY Primary

Addresses

Primary practice location

8866 Myrtle Ave
Glendale, NY 11385-7857

Mailing address

1573 E 46TH St
Brooklyn, NY 11234-3122
Phone (646) 836-2561

Other names 1

  • Ms. Cicily Brickhouse Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
817593141NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1235558495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 E 46TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343122",
            "telephone_number": "646-836-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857857",
            "telephone_number": "718-850-0400",
            "fax_number": "718-850-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARANO",
        "first_name": "CICILY",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "817593141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CICILY",
            "last_name": "BRICKHOUSE",
            "prefix": "MS.",
            "credential": "MSED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.