Thomas Cerillo Dpmpc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N002655 Issued in NY

Legal business name

THOMAS CERILLO DPMPC

Practice address

116 Kraft Ave
Bronxville, NY 10708-4134

Phone

(914) 337-1251

Fax

(914) 793-7473

NPI assigned

Dec 13, 2007

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Cerillo, DPMNPI 1073611836

Title

President

Phone

(914) 337-1251

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

Practitioners 1

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.

• Thomas Cerillo, D.P.M.

  • Podiatrist
  • Bronxville, NY
  • NPI 1073611836
  Authorized official Same address or phone

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1508049420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 KRAFT AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084134",
            "telephone_number": "914-337-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 KRAFT AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084134",
            "telephone_number": "914-337-1251",
            "fax_number": "914-793-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS CERILLO DPMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "CERILLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-337-1251",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "134800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P44193992",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0055370",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICE",
            "identifier": "TC0P304610",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH AND LIFE",
            "identifier": "030002655NY01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "4126153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD NY HEALTH PLAN",
            "identifier": "P30461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS1075",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02724752",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0C9377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "003048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Trustees of Columbia University in the City of New York (Columbia Orthopedics)
• The Trustees of Columbia University in the City of New York (Columbia Orthopedics)
• Sara Grace Thea, LMSW
• Therapeutic Associates, Inc.
• Therapy Pathways Speech and Language Services, PLLC
• Thomas J Militana MD
• Susan Thomas-Raju, M.D.
• Matthew Thomas, DPT
• Subha Thomas, NP
• Richard Matthew Tinger, RPH

• Podiatrist in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.