Edwin X Vicioso M D P C

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

250531 Issued in NY

Legal business name

EDWIN X VICIOSO M D P C

Practice address

16 Guion PL
Sound Shore Medical Center Anesthesia Department
New Rochelle, NY 10801-5502

Phone

(914) 409-5211

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Xavier Vicioso, MD

Title

Owner

Phone

(914) 409-5211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1346512381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "address_2": "SOUND SHORE MEDICAL CENTER ANESTHESIA DEPARTMENT",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-409-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN X VICIOSO M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "VICIOSO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-409-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "250531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeh Jean Edwards, M.S.
• Karen Alicia Edwards
• Latonia Shakira Edwards, APRN, PMHNP
• Vanessa Annette Edwards, LCSWR
• Walter G Edwards Jr., D. D. S.
• James Efiong, M.D.
• Heather J Egerman, MPS
• Barbara S Ehrenreich, C.P.N.P.
• Iona Kari Einset, DNP
• Cynthia P Ekokobe, LPN

• Anesthesiology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.