Individual provider Active NPI

Ernest John Cimino, M.D.

  • Plastic Surgery Physician
  • Yardley, PA
National Provider Identifier
1598853996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD044017-E Issued in PA
Practice address
1666 Edgewood Rd
Building 2
Yardley, PA 19067-5547
Phone
(215) 493-2231
Fax
(215) 493-7454
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 25MA053619 NJ
Plastic Surgery Physician 208200000X MD044017-E PA Primary

Addresses

Primary practice location

1666 Edgewood Rd
Building 2
Yardley, PA 19067-5547

Mailing address

1666 Edgewood Rd
Building 2
Yardley, PA 19067-5547
Phone (215) 493-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090923000726 PA Practitioner - Plastic and Reconstructive Surgery 7719902139 Practice locations: Yardley, PA
I20111107000175 NJ Practitioner - Plastic and Reconstructive Surgery 7719902139 Practice locations: Pennington, NJ; Trenton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA053619NJMDPlastic Surgery Physician
MD044017-EPAMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: ernest.cimino@ernestjciminomd.chartmakerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598853996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 EDGEWOOD RD",
            "address_2": "BUILDING 2",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675547",
            "telephone_number": "215-493-2231",
            "fax_number": "215-493-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 EDGEWOOD RD",
            "address_2": "BUILDING 2",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675547",
            "telephone_number": "215-493-2231",
            "fax_number": "215-493-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "ERNEST",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA053619",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD044017-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.