Active NPI
Kira Antonia Geraci-Ciardullo, M.D.
- Allergy Physician
- Mamaroneck, NY
National Provider Identifier
1245236207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 146408
- Practice address
- 1600 Harrison Ave
Ste 304
Mamaroneck, NY 10543-3151 - Phone
- (914) 777-1179
- Fax
- (914) 777-1262
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 146408 | NY | Primary |
Addresses
Primary practice location
1600 Harrison Ave
Ste 304
Mamaroneck, NY 10543-3151
Mailing address
1600 Harrison Ave
Ste 304
Mamaroneck, NY 10543-3151
Phone (914) 777-1179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146408 | NY | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1245236207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "STE 304",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433151",
"telephone_number": "914-777-1179",
"fax_number": "914-777-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HARRISON AVE",
"address_2": "STE 304",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433151",
"telephone_number": "914-777-1179",
"fax_number": "914-777-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERACI-CIARDULLO",
"first_name": "KIRA",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "146408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.