Active NPI
Christopher Alphonse Cisterna, MS CCC A
- Audiologist
- Rochester, NY
National Provider Identifier
1346323060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0014381
- Practice address
- 2210 Monroe Ave
Rochester, NY 14618-2419 - Phone
- (585) 442-4180
- Fax
- (585) 442-4199
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0014381 | NY | Primary |
Addresses
Primary practice location
2210 Monroe Ave
Rochester, NY 14618-2419
Mailing address
15 Tyringham Rd
Rochester, NY 14617
Phone (585) 544-2924
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0014381 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346323060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TYRINGHAM RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14617",
"telephone_number": "585-544-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MONROE AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182419",
"telephone_number": "585-442-4180",
"fax_number": "585-442-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISTERNA",
"first_name": "CHRISTOPHER",
"middle_name": "ALPHONSE",
"name_prefix": "Mr.",
"credential": "MS CCC A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0014381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.