Active NPI
Dawn Carol Cieplensky, DO
- Family Medicine Physician
- New York, NY
National Provider Identifier
1306042866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 175323
- Practice address
- 141 E 55TH St
Suite 7B
New York, NY 10022-4030 - Phone
- (212) 465-3175
- Fax
- (212) 813-9476
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 175323 | NY | Primary |
Addresses
Primary practice location
141 E 55TH St
Suite 7B
New York, NY 10022-4030
Mailing address
141 E 55TH St
Suite 7B
New York, NY 10022-4030
Phone (212) 465-3175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175323 | Other | NY | LICENSE NUMBER |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 27, 2017 through Mar 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175323 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306042866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 55TH ST",
"address_2": "SUITE 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224030",
"telephone_number": "212-465-3175",
"fax_number": "212-813-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 55TH ST",
"address_2": "SUITE 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224030",
"telephone_number": "212-465-3175",
"fax_number": "212-813-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIEPLENSKY",
"first_name": "DAWN",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "175323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "175323",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.