Gerald Vincent Ciccarello, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

003224 Issued in NY

Practice address

2098 Wantagh Ave
Wantagh, NY 11793-3914

Phone

(516) 781-5225

Fax

(516) 781-9359

NPI assigned

Jul 13, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Gerald Ciccarello

  • Durable Medical Equipment & Medical Supplies
  • Wantagh, NY
  • NPI 1689855546
  NPD (past) Authorized official

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1720086796",
    "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",
            "fax_number": "516-781-9359"
        },
        {
            "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",
            "fax_number": "516-781-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLO",
        "first_name": "GERALD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00685516",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Chen
• Carol J. Chessman
• Jasminepreet Chohan, MD
• Blima Chopp-Mandelbaum, LMSW
• CHS Physician Partners (Wantagh Medical Practice)
• Michelle Cinnamo
• Howard Cintron, PH.D.
• Veronica M. Citarrella, LMSW
• Lucille Citera Mazzer, P.T.
• Elsa Jimenez Clark, M.D.

• Podiatrist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.