NPIMap

Organization Active NPI

Joseph a Ciccio Jr DDS and Peter B Demarest DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1427118892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0376242 Issued in NY
Legal business name
JOSEPH A CICCIO JR DDS AND PETER B DEMAREST DMD PLLC
Practice address
117 E 77TH St Apt 1a
New York, NY 10021-1823
Phone
(212) 535-0515
Fax
(212) 717-0527
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Anthony Ciccio Jr., DDSNPI 1639457625
Title
Owner
Phone
(914) 337-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0457262 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0376242 NY Primary

Addresses

Primary practice location

117 E 77TH St Apt 1a
New York, NY 10021-1823

Mailing address

1 Pondfield Road
Suite 304
Bronxville, NY 10708
Phone (914) 337-4700

National Provider Directory

National Provider Directory

Locations

1 Pondfield Rd
Ste 304
Bronxville, NY 10708
Phone (914) 337-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427118892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PONDFIELD ROAD",
            "address_2": "SUITE 304",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "10708",
            "telephone_number": "914-337-4700",
            "fax_number": "914-395-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 77TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211823",
            "telephone_number": "212-535-0515",
            "fax_number": "212-717-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A CICCIO JR DDS AND PETER B DEMAREST DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-337-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0457262",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0376242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.