Individual provider Active NPI

Philip J Cilio, DC, LAC

  • Neurology Chiropractor
  • Merrick, NY
National Provider Identifier
1609950443
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
007720 Issued in NY
Practice address
1757 Merrick Ave
Suite 100
Merrick, NY 11566-2717
Phone
(516) 474-9585
Fax
(516) 826-1461
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 007720 NY Primary

Addresses

Primary practice location

1757 Merrick Ave
Suite 100
Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave
Suite 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
I20120418000116 NY Practitioner - Chiropractic 7810158029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Freedom Wellness Inc. Neurology Current Accepting new patients
Philip J. Cilio DC Lac PLLC CurrentSince Apr 16, 2012 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1609950443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE",
            "address_2": "SUITE 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",
            "address_2": "SUITE 100",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-474-9585",
            "fax_number": "516-826-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILIO",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "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 Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.