Gerald Ciccarello

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4008420001 Issued in NY

Legal business name

GERALD CICCARELLO

Practice address

2098 Wantagh Ave
Wantagh, NY 11793-3914

Phone

(516) 781-5225

NPI assigned

Nov 20, 2007

Last updated

Nov 27, 2007By 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. Gerald Ciccarello, DPMNPI 1720086796

Title

Owner

Phone

(516) 781-5225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Vincent Ciccarello, D.P.M.

  • Podiatrist
  • Wantagh, NY
  • NPI 1720086796
  NPD (past) Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1689855546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933914",
            "telephone_number": "516-781-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933914",
            "telephone_number": "516-781-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD CICCARELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "CICCARELLO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-781-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "4008420001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty G Garrison, M.A., M.S., LMHC
• Gastrointestinal Specialist of Long Island, P.C.
• Nicole Genova
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10664)
• Natasha George
• Gerald J Bergman DPM PC
• Geraldine Pagano-Piacente,Ma/CCC,SLP,PC
• Getting Ahead Programs
• Karen Giachetti, L.M.T
• Teresa Carmen Gil, M.D.

• Durable Medical Equipment & Medical Supplies in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.