Organization Active NPI

Mark J. Cerciello M.D., P.C.

  • Orthopaedic Surgery Physician
  • Allentown, PA
National Provider Identifier
1841408663
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARK J. CERCIELLO M.D., P.C.
Practice address
451 W Chew St
Suite 207
Allentown, PA 18102-3472
Phone
(610) 821-2815
Fax
(610) 821-8031
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Mark Cerciello
Title
MD
Phone
(610) 821-2815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

451 W Chew St
Suite 207
Allentown, PA 18102-3472

Mailing address

451 W Chew St
Suite 207
Allentown, PA 18102-3472
Phone (610) 821-2815

Other identifiers 1

IdentifierTypeStateIssuer
000626313001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1841408663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W CHEW ST",
            "address_2": "SUITE 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023472",
            "telephone_number": "610-821-2815",
            "fax_number": "610-821-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W CHEW ST",
            "address_2": "SUITE 207",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023472",
            "telephone_number": "610-821-2815",
            "fax_number": "610-821-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J. CERCIELLO M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CERCIELLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "610-821-2815",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000626313001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.