Individual provider Active NPI

Robert Storm Cilley, MED, ATC

  • Intermediate Emergency Medical Technician
  • Ogdensburg, NY
National Provider Identifier
1396805685
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
056475 Issued in NY
Practice address
933 Elizabeth St
Ogdensburg, NY 13669-3425
Phone
(315) 393-1700
Fax
(315) 393-1700
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 056475 NY Primary
Athletic Trainer 2255A2300X 000288-1 NY

Addresses

Primary practice location

933 Elizabeth St
Ogdensburg, NY 13669-3425

Mailing address

933 Elizabeth St
Ogdensburg, NY 13669-3425
Phone (315) 393-1700

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 Education

State licenses

LicenseStateTypeSpecialty
056475NYMDIntermediate Emergency Medical Technician
000288-1NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396805685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 ELIZABETH ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693425",
            "telephone_number": "315-393-1700",
            "fax_number": "315-393-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 ELIZABETH ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693425",
            "telephone_number": "315-393-1700",
            "fax_number": "315-393-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLEY",
        "first_name": "ROBERT",
        "middle_name": "STORM",
        "name_prefix": "Mr.",
        "credential": "MED, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NY",
            "license": "056475",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000288-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.