Cibao Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CIBAO PEDIATRICS, PC

Practice address

640 W 139TH St
New York, NY 10031-7332

Phone

(212) 234-7600

Fax

(212) 234-1796

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Hector Antonio Valencia, M.D.

Title

Owner

Phone

(212) 234-7600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992855845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 156TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543326",
            "telephone_number": "212-234-7600",
            "fax_number": "212-234-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W 139TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100317332",
            "telephone_number": "212-234-7600",
            "fax_number": "212-234-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIBAO PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-234-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02384774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmem Alaide Ciarlini Gazineo, MD
• Jacque Ciarlo, D.O.
• Gina A Ciavarra, MD
• Isabelle Zelna Ciaverelli, MD
• Ciba Health Inc.
• Garret Gaetano Cibelli
• Josefina Cibelli
• Erin Lynn Cicalese, M.D.
• Alyssa Nina Cicalo, AUD
• Louis V. Cicatelli, D.O.

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.