Active NPI
Anthony Joshua Cerciello, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 06188801
- Practice address
- 2001 Marcus Ave Ste N10
New Hyde Park, NY 11042-2048 - Phone
- (516) 775-1818
- Fax
- (516) 775-0892
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 06188801 | NY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 06188801 | NY | Primary |
Addresses
Primary practice location
2001 Marcus Ave Ste N10
New Hyde Park, NY 11042-2048
Mailing address
2001 Marcus Ave Ste N10
New Hyde Park, NY 11042-2048
Phone (516) 775-1818
Other practice location 1
474 Montauk Hwy
West Islip, NY 11795-4416
Phone (631) 376-1560
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Marcus Ave
Suite N10
New Hyde Park, NY 11042-2048
Phone (516) 775-1818
Hospital & facility affiliations
- Long Island Jewish Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06188801 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| New York Comprehensive Orthognathic and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients |
Locations
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
2001 Marcus Ave
Ste N10
New Hyde Park, NY 11042
Phone (516) 775-1818
474 Montauk Hwy
West Islip, NY 11795
Phone (516) 775-1818
Organizations & group practices 4
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- New Hyde Park, NY
- NPI 1699782219
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1578083564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE STE N10",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422048",
"telephone_number": "516-775-1818",
"fax_number": "516-775-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE STE N10",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422048",
"telephone_number": "516-775-1818",
"fax_number": "516-775-0892"
}
],
"practiceLocations": [
{
"address_1": "474 Montauk Hwy",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117954416",
"country_code": "US",
"telephone_number": "631-376-1560",
"fax_number": "631-376-1561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERCIELLO",
"first_name": "ANTHONY",
"middle_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "06188801",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "06188801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.