Andre Ciceron, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA03235900 Issued in NJ

Practice address

207 Shore Rd
Somers Point, NJ 08244-2759

Phone

(609) 926-5838

Fax

(609) 926-5839

NPI assigned

Oct 3, 2006

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Andre Ciceron MD

  • Urology Physician
  • Somers Point, NJ
  • NPI 1629256037
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1265526586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442759",
            "telephone_number": "609-926-5838",
            "fax_number": "609-926-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442759",
            "telephone_number": "609-926-5838",
            "fax_number": "609-926-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERON",
        "first_name": "ANDRE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03235900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Chenman
• Anthony Paul Chiccarine, DO
• Tara E Chidsey, FNP-BC
• Chop Clinical Associates, Inc (Care Network Somers Point)
• Anthony Ciarricco, PA-C
• Asuncion V Ciceron, MD
• Ana M Cilursu, MD
• Kimberly Cipkins, RD
• Elizabeth Anne Clark, PT, DPT
• Coastal Neurosciences PC (Coastal Physicians & Surgeons PC)

• Urology Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.