Dr. Lawrence Angelo Cicchiello

Diagnostic Radiology Garnet Health Medical Center NPI1740451152

Summary

About

Dr. Lawrence Angelo Cicchiello specialises in Diagnostic Radiology. He currently works at Garnet Health Medical Center in New York and has affiliate with 4 other institutions.

Provider Details

NPI Number 1740451152
Provider Name Lawrence Angelo Cicchiello
Credential
Specialization Diagnostic Radiology
Medical School Name Icahn School Of Medicine At Mount Sinai
Graduation Year 2003
Gender M
Entity Type Individual
PAC ID by PECOS 6800929969
Professional Enrollment ID I20110614000741
Enumeration Date 03/13/2008
Last Update Date 07/22/2021

Contact Details

Business Practice address 707 E MAIN ST, Middletown,
10940-2650 New York View on Google Map
Business Practice phone 845-333-1258
Business Practice fax 845-343-0617
Mailing address 707 E MAIN ST, Middletown,
10940-2650 New York View on Google Map
Other phone 845-333-1258
Other fax 845-343-0617
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Lawrence Angelo Cicchiello Update NPI

Hospital Affilitation

Garnet Health Medical Center in Middletown

Middletown, New York

Garnet Health Medical Center Catskills - (Csk)

St Luke's Cornwall Hospital

Healthalliance Hospital Marys Avenue Campus

Chan Soon- Shiong Medical Center At Windber

Education & Training

Icahn School Of Medicine At Mount Sinai

Diagnostic Radiology, 2003

Group Affiliation

Organization Name PECOS PAC ID Members
Medical Diagnostic Imaging, Pllc 0547242224 12
Radiologic Associates Prof Corp 9931090412 37
Horizon Medical Group Pc 6103715529 66
Dimitri N Kessaris Mdpc 5799782587 16
West Hudson Imaging Associates Pllc 3375438625 29
New Rochelle Radiology Associates, P.C. 8921997479 21
Northern Medical Group, Pllc 6901104157 62
Ulster Radiologic Associates Pc 5294624722 33
Cambria Somerset Radiology And Nuclear Medicine Group Inc 7113824277 52
Hartsdale Diagnostic And Womens Imaging Services Pc 9234020215 9
Orthopedic Assoc Of Dutchess County P C 5890608715 47
Jay Lerman Md Pc 0345435830 14
Capital Imaging Associates 7416939590 20
Imaging Associates Of Hazleton Pc 0941275747 18
Diagnostic Imaging Associates Of North Jersey Pa 3476511064 16
Vision Imaging Of Kingston Llc 8921065319 23
Hudson Valley Diagnostic Imaging, Pllc 6204729452 29

Public Reporting for Performance Scores

More Details

Final MIPS Score

74.98 out of 100

Score Breakdown

Quality Category Score 76.80
PI Category Score 81.5

 

IA Category Score 40
Cost Category Score 0
Total Patients: 112
Source of Scores: group, individual
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy
License No.
240450 (New York)

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1740451152
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Cicchiello
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Lawrence
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 707 E MAIN ST
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Middletown
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name New York
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 10940-2650
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 845-333-1258
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 845-343-0617
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 707 E MAIN ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Middletown
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name New York
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 10940-2650
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 845-333-1258
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 845-343-0617
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 03/13/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 07/22/2021
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #1
Provider License Number 1 240450
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 NY
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.