Individual provider Active NPI

Cynthia Marsilio, A.N.P.

  • Adult Health Nurse Practitioner
  • Port Jervis, NY
National Provider Identifier
1750695391
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305406 Issued in NY
Practice address
161 E Main St
Suite 301
Port Jervis, NY 12771-2113
Phone
(845) 858-7277
Fax
(845) 858-7279
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305406 NY Primary

Addresses

Primary practice location

161 E Main St
Suite 301
Port Jervis, NY 12771-2113

Mailing address

160 E Main St
2ND Floor
Port Jervis, NY 12771-2253
Phone (845) 858-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F305406NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1750695391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712253",
            "telephone_number": "845-858-7277",
            "fax_number": "845-858-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "address_2": "SUITE 301",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712113",
            "telephone_number": "845-858-7277",
            "fax_number": "845-858-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSILIO",
        "first_name": "CYNTHIA",
        "name_prefix": "Prof.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.