Active NPI
Michael Cicatelli, PHYSICIAN ASSISTANT
- Surgical Physician Assistant
- Putnam Valley, NY
National Provider Identifier
1871555003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- O000020
- Practice address
- 11 Florence Rd
Putnam Valley, NY 10579-3423 - Phone
- (845) 528-1942
- Fax
- (845) 528-1942
- NPI assigned
- Apr 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | O000020 | NY | Primary |
Addresses
Primary practice location
11 Florence Rd
Putnam Valley, NY 10579-3423
Mailing address
11 Florence Rd
Putnam Valley, NY 10579-3423
Phone (845) 528-1942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000201 | NY | MD | Psychoanalysis Psychologist |
| O000020 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Bracing Systems LTD | Past | Accepting new patients |
Interoperability endpoints
- michael.cicatelli@direct.hvhc.org
- mic2027@direct.nyp.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Putnam Valley, NY
- NPI 1427010669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871555003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FLORENCE RD",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "105793423",
"telephone_number": "845-528-1942",
"fax_number": "845-528-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FLORENCE RD",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "105793423",
"telephone_number": "845-528-1942",
"fax_number": "845-528-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICATELLI",
"first_name": "MICHAEL",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "O000020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Putnam Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.