Catherine Cicco, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB10614800 Issued in NJ

Practice address

1445 Whitehorse Mercerville Rd Ste 103
Hamilton, NJ 08619-3834

Phone

(609) 587-6661

NPI assigned

May 31, 2016

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment NPD
• Hamilton Physicians Group, PC

  • Family Medicine Physician
  • Mercerville, NJ
  • NPI 1417904087
  NPD

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1407204571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-587-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WHITEHORSE MERCERVILLE RD STE 103",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193834",
            "telephone_number": "609-587-6661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Penns Trl",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401812",
            "country_code": "US",
            "telephone_number": "215-504-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICCO",
        "first_name": "CATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB10614800",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Chiromeras, M.D.
• Priya Chokshi, MD
• Kaiann Chu
• Bella Chun
• Martin Chun, LICENSED SOCIAL WORK
• Katarzyna I Ciesek, OD
• Karen Cihlar, BCBA
• Nancy Cimino, MSW
• Brian Francis Civinski, DC
• Clarity Behavioral Health LLC

• Family Medicine Physician in Hamilton, NJ
• Providers in Hamilton, 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 Mar 12, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.