NPIMap

Organization Active NPI

Evan Cichelli, LLC

  • Foot & Ankle Surgery Podiatrist
  • Lansdale, PA
National Provider Identifier
1528698347
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
EVAN CICHELLI, LLC
Doing business as
Evan Cichelli, LLC
Practice address
2032 N Broad St
Lansdale, PA 19446-1051
Phone
(706) 338-4344
NPI assigned
Jan 21, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dr. Evan Cichelli, DPMNPI 1891002572
Title
Ceo
Phone
(706) 338-4344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

2032 N Broad St
Lansdale, PA 19446-1051

Mailing address

2032 N Broad St
Lansdale, PA 19446-1051
Phone (706) 338-4344

Other names 1

  • Evan Cichelli, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drevan@independencefootandankle.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1528698347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461051",
            "telephone_number": "706-338-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461051",
            "telephone_number": "706-338-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN CICHELLI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "CICHELLI",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-338-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drevan@independencefootandankle.com",
            "affiliation": "N",
            "endpointDescription": "HIPPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "2032 N Broad St",
            "city": "Lansdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194461051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evan Cichelli, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.