Anthony R. Ciancimino, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31433 Issued in NY

Practice address

8202 Penelope Ave
Middle Village, NY 11379-2337

Phone

(718) 326-0003

Fax

(718) 326-5269

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aciancimino9357@nychhc.direct-ci.com

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.

• Icahn School of Medicine at Mount Sinai

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Elmhurst, NY
  • NPI 1437403409
  NPD
• Icahn School of Medicine at Mount Sinai

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1619221686
  NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477580934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792337",
            "telephone_number": "718-326-0003",
            "fax_number": "718-326-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 PENELOPE AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792337",
            "telephone_number": "718-326-0003",
            "fax_number": "718-326-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIMINO",
        "first_name": "ANTHONY",
        "middle_name": "R.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "31433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00976807",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Shazim Chowdhury, PHARM D
• Lynn Christman
• Maria Chu-Delosreyes, OTR/L
• Charles Anthony Ciaccio, RPH
• Geraldine Enza Ciaccio, PHARMD
• Patricia Cipriani, M.S. SPED.
• Cindy Ciulla, R.N.
• Rosaleen Mary Clarke, MA CCC-SLP
• Ashling Coleman, RN
• Vito Antonino Colombo, B.S.

• General Practice Dentistry in Middle Village, NY
• Providers in Middle Village, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.