Active NPI
Gary Cicio, DPM
- Podiatrist
- Bronx, NY
National Provider Identifier
1992812564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003225
- Practice address
- 1049 Franklin Avenue
Bronx, NY 10456 - Phone
- (718) 861-5650
- Fax
- (718) 861-5654
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003225 | NY | Primary |
Addresses
Primary practice location
1049 Franklin Avenue
Bronx, NY 10456
Mailing address
569 Beach Road
Mahopac, NY 10541
Phone (845) 621-5006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N003225 | Other | NY | NY STATE ED DEPT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003225 | NY | MD | Neurology Physician |
| N003225 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992812564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 BEACH ROAD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "10541",
"telephone_number": "845-621-5006",
"fax_number": "845-621-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 FRANKLIN AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10456",
"telephone_number": "718-861-5650",
"fax_number": "718-861-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICIO",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE ED DEPT",
"identifier": "N003225",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.