Organization Active NPI

Philip J. Cilio DC Lac PLLC

  • Chiropractor
  • Merrick, NY
National Provider Identifier
1609132778
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007720 Issued in NY
Legal business name
PHILIP J. CILIO DC LAC PLLC
Practice address
1757 Merrick Ave Ste 100
Merrick, NY 11566-2717
Phone
(516) 474-9585
Fax
(516) 826-1461
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Philip John Cilio, DC MS LACNPI 1609950443
Title
Chiropractor
Phone
(516) 474-9585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007720 NY Primary

Addresses

Primary practice location

1757 Merrick Ave Ste 100
Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave Ste 100
Merrick, NY 11566-2717
Phone (516) 474-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000132 NY Part B Supplier - Clinic/Group Practice 6002077278 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Locations

1757 Merrick Ave
Ste 100
North Merrick, NY 11566
Phone (516) 474-9585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1609132778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 100",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-474-9585",
            "fax_number": "516-826-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 100",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-474-9585",
            "fax_number": "516-826-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. CILIO DC LAC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CILIO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "516-474-9585",
        "authorized_official_credential": "DC MS LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "007720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.