Active NPI
Michael Robert Cellini, D.O.
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MB11083500
- Practice address
- 100 E 77TH St
New York, NY 10075-1850 - Phone
- (212) 434-6262
- NPI assigned
- Mar 26, 2015
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MB11083500 | NJ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 22091 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | V5882 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | OS22703 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | V5882 | TX |
Addresses
Primary practice location
100 E 77TH St
New York, NY 10075-1850
Mailing address
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-6262
Other practice location 1
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Other practice location 2
5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
Other practice location 3
2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TX, NC, AL, AZ, ND, NY, NM, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Philadelphia College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Little Silver, NJ 07739
Phone (469) 677-7430
Fargo, ND 58104
Phone (469) 677-7430
11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633
1210 7TH St S
Clanton, AL 35045-3724
Phone (334) 514-3820
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000
277 Huntress St
Suite 100
Wetumpka, AL 36092-3329
277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309
33 Kings Rd
Little Silver, NJ 07739-1617
Phone (718) 223-4685
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731
6582 Boll Weevil Cir
Enterprise, AL 36330-9424
Phone (334) 347-2027
PO Box
Suite 130
Wetumpka, AL 36092
Hospital & facility affiliations
- St John's Episcopal Hospital at South Shore
- Nyack Hospital
- St John's Riverside Hospital
- Ascension Saint Thomas Hospital
- Ascension St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.53 of 100
- Quality
- 57.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.27 of 100
- Quality
- 91.25
- Improvement activities
- 40
- Cost
- 65.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS22703 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Express | Family Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Wetumpka Urgent Care LLC | Current | Accepting new patients | |
| Health Village Imaging, LLC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Mt Graham Regional Medical Center Inc | Current | Accepting new patients | |
| Enterprise Urgent Care | Current | Accepting new patients | |
| Sanford Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Prime Healthcare Services-Gadsden Physician Management LLC | Family Medicine | Current | Accepting new patients |
| Chilton Family Care, LLC | Family Medicine | Current | Accepting new patients |
| Hackensack Meridian Outpatient Services, Inc. | Current | Accepting new patients | |
| Hackensack Meridian Outpatient Services, Inc. | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Current | Accepting new patients | |
| Mid Coast Health System | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Family Medicine | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| River Region Family Medicine, LLC | Family Medicine | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ivy Creek Family Care of Lake Martin | Family Medicine | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Family Medicine | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Coastal Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| Peterson Medical Associates | Family Medicine | Current | Accepting new patients |
| Mid Coast Health System | Current | Accepting new patients | |
| Global Imaging Specialists, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations (25 of 40)
1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620
4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
303 Bay St
Ste 401
Gadsden, AL 35901
Phone (256) 413-6591
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222
4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222
277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309
41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000
4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200
1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561
4820 23rd Ave S
Fargo, ND 58104
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272
1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204
1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
Interoperability endpoints
- https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
Organizations & group practices 32
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.
-
- Family Medicine Physician
- Clanton, AL
- NPI 1366857674
-
dba Ivy Creek Family Care of Enterprise
- Urgent Care Clinic/Center
- Enterprise, AL
- NPI 1285180729
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
-
- Critical Access Hospital
- Safford, AZ
- NPI 1275588345
-
dba Mid-State Radiology
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
NJ
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
Family Medicine
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1356731467
-
- Family Medicine Physician
- Wetumpka, AL
- NPI 1578195525
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
NJ
-
- Urgent Care Clinic/Center
- Wetumpka, AL
- NPI 1194057554
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
dba Ascension Saint Thomas Hospital
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1831583939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751850",
"telephone_number": "212-434-6262"
}
],
"practiceLocations": [
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5225 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581047927",
"country_code": "US",
"telephone_number": "701-417-2575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 Pease St",
"address_purpose": "LOCATION",
"city": "Harlingen",
"state": "TX",
"postal_code": "785508307",
"country_code": "US",
"telephone_number": "956-389-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CELLINI",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MB11083500",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "22091",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V5882",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS22703",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "V5882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.