Albert J. Ciancimino, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

129362 Issued in NY

Practice address

335 Court St
Brooklyn, NY 11231-4335

Phone

(718) 855-1543

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• RPT Physical Therapy, P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1134274772
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1699852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314335",
            "telephone_number": "718-855-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112314335",
            "telephone_number": "718-855-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIMINO",
        "first_name": "ALBERT",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "129362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "321422",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00249692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0097952",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathya Alexandra Ciaccio, PEER SPECIALIST
• Amanda Ciaffone
• Moira Cialino, R.N., N.P.
• Lindsay Anne Ciampi, LCSW
• Gabriella Cianci, LMHC
• Joseph Anthony Ciavarro Jr., PA-C, MBA
• Emily Ciavolella
• Laura-Ann Cicalese, LMSW
• Amanda Cicarelli
• Rachel Marie Ciccarello, M.S., CCC-SLP

• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.