NPIMap

Individual provider Active NPI

Jeffrey Michael Ciccone, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Uniondale, NY
National Provider Identifier
1700052685
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
242621 Issued in NY
Practice address
333 Earle Ovington Blvd Ste 101
Uniondale, NY 11553-3645
Phone
(162) 402-1625
Fax
(212) 517-4481
NPI assigned
May 1, 2008
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 242621 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 242621 NY Primary

Addresses

Primary practice location

333 Earle Ovington Blvd Ste 101
Uniondale, NY 11553-3645

Mailing address

333 Earle Ovington Blvd Ste 101
Uniondale, NY 11553-3645
Phone (516) 240-2162

Other identifiers 1

IdentifierTypeStateIssuer
03249034MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000276 NY Practitioner - AnesthesiologyPractitioner - Pain Management 4183819212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East River Medical Associates PCGroup PAC ID 1052207479, 116 clinicians

Practice addresses (Care Compare)

535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East River Medical Associates P.C. Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
New York Society for the Relief of Ruptured & Crippled Maintaining PastSince Jan 1, 2022 Accepting new patients
Mount Sinai School of Medicine Anesthesiology Past Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology Past Accepting new patients

Locations

90 Merrick Ave
East Meadow, NY 11554
Phone (212) 606-1206

1233 2nd Ave
New York, NY 10065
Phone (212) 548-2900

429 E 75th St
Fl 5
New York, NY 10021
Phone (212) 606-1974

535 E 70th St
New York, NY 10021

535 E 70th St
Ste 853W
New York, NY 10021

610 W 58th St
New York, NY 10019
Phone (212) 774-2474

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1700052685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD STE 101",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533645",
            "telephone_number": "516-240-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EARLE OVINGTON BLVD STE 101",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533645",
            "telephone_number": "162-402-1625",
            "fax_number": "212-517-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "242621",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "242621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03249034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

Verify at the official NPI Registry.