Individual provider Active NPI

Aldo Anthony Ciccotelli, M.D.

  • Family Medicine Physician
  • Langhorne, PA
National Provider Identifier
1649266313
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD037767E Issued in PA
Practice address
106 Corporate Dr E
Langhorne, PA 19047-8005
Phone
(215) 504-5253
Fax
(215) 504-9037
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD037767E PA Primary

Addresses

Primary practice location

106 Corporate Dr E
Langhorne, PA 19047-8005

Mailing address

106 Corporate Dr E
Langhorne, PA 19047-8005
Phone (215) 504-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000959 PA Practitioner - Family Practice 7113923210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Corporate Dr E
Langhorne, PA 19047-8005
Phone (215) 504-5253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037767EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks County Family Practice PC Current Accepting new patients
Aldo Ciccotelli M.D.P.C. CurrentSince Feb 11, 2017 Accepting new patients

Locations

106 Corporate Dr E
Langhorne, PA 19047
Phone (215) 504-5253

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649266313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CORPORATE DR E",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478005",
            "telephone_number": "215-504-5253",
            "fax_number": "215-504-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CORPORATE DR E",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478005",
            "telephone_number": "215-504-5253",
            "fax_number": "215-504-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCOTELLI",
        "first_name": "ALDO",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037767E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.