Dr John R Cicero Surgeon Podiatrist Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00154100 Issued in NJ

Legal business name

DR JOHN R CICERO SURGEON PODIATRIST INC

Practice address

10 Meadow LN
Bloomfield, NJ 07003-4308

Phone

(973) 338-3933

Fax

(973) 338-7969

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Cicero, DPM

Title

Surgeon Podiatrist

Phone

(973) 338-3933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1629459219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEADOW LN",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034308",
            "telephone_number": "973-338-3933",
            "fax_number": "973-338-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEADOW LN",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034308",
            "telephone_number": "973-338-3933",
            "fax_number": "973-338-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN R CICERO SURGEON PODIATRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SURGEON PODIATRIST",
        "authorized_official_telephone_number": "973-338-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00154100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.