Individual provider Active NPI

Sixto Malabanan Lirio, MD

  • Family Medicine Physician
  • Cape May Court House, NJ
National Provider Identifier
1780683672
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA45255 Issued in NJ
Practice address
7 Pershing Ave
Cape May Court House, NJ 08210-2736
Phone
(609) 463-0600
Fax
(609) 463-9477
NPI assigned
Jul 21, 2005
Last updated
Oct 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA45255 NJ Primary

Addresses

Primary practice location

7 Pershing Ave
Cape May Court House, NJ 08210-2736

Mailing address

10 Easy Street
Swainton
Cape May Court House, NJ 08210
Phone (609) 463-0600

Other identifiers 1

IdentifierTypeStateIssuer
2251302MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000162 NJ Practitioner - Family PracticePractitioner - General Surgery 6305853524 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA45255NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 15, 2013 Accepting new patients
Sixto M Lirio MD PA Family Medicine CurrentSince Apr 1, 2001 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 15, 2013 Accepting new patients
Complete Care at Court House LLC Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

7 Pershing Ave
Cape May Court House, NJ 08210
Phone (609) 463-0600

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

1175 Dehirsch Ave
Woodbine, NJ 08270
Phone (609) 861-2164

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at Court House LLCCape May Court House, NJ, CCN 315228A Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jul 1, 2021
Jul 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1780683672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EASY STREET",
            "address_2": "SWAINTON",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "08210",
            "telephone_number": "609-463-0600",
            "fax_number": "609-463-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PERSHING AVE",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102736",
            "telephone_number": "609-463-0600",
            "fax_number": "609-463-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRIO",
        "first_name": "SIXTO",
        "middle_name": "MALABANAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA45255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.