Individual provider Active NPI

Cara Cipriano, LMT

  • Specialist
  • Stony Brook, NY
National Provider Identifier
1912284019
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025499-1 Issued in NY
Practice address
1239 N Country Rd
Stony Brook, NY 11790-1934
Phone
(631) 605-1968
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 025499-1 NY Primary

Addresses

Primary practice location

1239 N Country Rd
Stony Brook, NY 11790-1934

Mailing address

1239 N Country Rd
Suite 8a
Stony Brook, NY 11790-1934

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

LicenseStateTypeSpecialty
025499-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1912284019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 N COUNTRY RD",
            "address_2": "SUITE 8A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 N COUNTRY RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901934",
            "telephone_number": "631-605-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "CARA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025499-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.