Maria Del Carmen Cisnero, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08784000 Issued in NJ

Practice address

605 S Broad St
Unit B
Elizabeth, NJ 07202-2601

Phone

(908) 659-0075

Fax

(908) 469-4300

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P and C Medical Group, LLCGroup PAC ID 0143403469, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P & C Medical Group, LLC

  • Family Medicine Physician
  • Elizabeth, NJ
  • NPI 1760785398
  Medicare reassignment Care Compare group Authorized official
• Gauri Pharmacy Inc

  • Community/Retail Pharmacy
  • Elizabeth, NJ
  • NPI 1497050694
  NPD (past)
• Verity Physicians, LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1548853013
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1134129802
  Care Compare affiliation
• Trinitas Regional Medical Center

  • Specialist
  • Elizabeth, NJ
  • NPI 1487697785

  Hospital

  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1790785913
  Care Compare affiliation

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298073600000",
    "number": "1366617334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S BROAD ST",
            "address_2": "UNIT B",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022601",
            "telephone_number": "908-659-0075",
            "fax_number": "908-469-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S BROAD ST",
            "address_2": "UNIT B",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022601",
            "telephone_number": "908-659-0075",
            "fax_number": "908-469-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNERO",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "016888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08784000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253642",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen G Cianciulli, DC
• Amanda Joy Ciani, FNP-C
• James Z. Cinberg, MD
• Jessica Cingire, LCSW
• Denise M Circonciso, P.T.
• April Cistrelli, LCSW
• City of Elizabeth
• City of Elizabeth Department of Health and Human Services
• Breia L Clarke
• Miata Clay

• Family Medicine Physician in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.