Active NPI
Antonia Siciliano, O.D.
- Corneal and Contact Management Optometrist
- New York, NY
National Provider Identifier
1568655975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- TUV006177
- Practice address
- 7 Hanover SQ
New York, NY 10004-2616 - Phone
- (212) 943-2360
- Fax
- (212) 943-2362
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | TUV006177 | NY | Primary |
Addresses
Primary practice location
7 Hanover SQ
New York, NY 10004-2616
Mailing address
7 Hanover SQ
New York, NY 10004-2616
Phone (212) 943-2360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006177 | NY | MD | Corneal and Contact Management Optometrist |
| 006177 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Associates, LLC. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Miami, FL
- NPI 1568429363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1568655975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HANOVER SQ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042616",
"telephone_number": "212-943-2360",
"fax_number": "212-943-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HANOVER SQ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042616",
"telephone_number": "212-943-2360",
"fax_number": "212-943-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIANO",
"first_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV006177",
"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 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.