John Mark Cianciolo

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000744 Issued in CT

Practice address

500 Orange St
New Haven, CT 06511-3808

Phone

(203) 495-6800

Fax

(203) 495-6801

NPI assigned

Sep 15, 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

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1770578700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113808",
            "telephone_number": "203-495-6800",
            "fax_number": "203-495-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113808",
            "telephone_number": "203-495-6800",
            "fax_number": "203-495-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIOLO",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004088375",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young in Chung
• Geoffrey Lal Chupp, MD
• Keith B Churchwell, MD
• Natela Churgulia, MD
• James P Cianciolo
• Michael Cianciulli, RPT
• Alivia Ciarcia
• Justine Ciarleglio, PA-C
• Laura Ciarleglio, LCSW
• Emma Leonor Ciccarillo

• Chiropractor in New Haven, CT
• Providers in New Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.