Provider Demographics
NPI:1811972698
Name:CECCARELLI, SILVIO JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIO
Middle Name:JOHN
Last Name:CECCARELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 THEALL RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1404
Mailing Address - Country:US
Mailing Address - Phone:914-848-8700
Mailing Address - Fax:914-848-8701
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-848-8700
Practice Address - Fax:914-848-8701
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148605207R00000X
CT027982207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY133884168OtherPOMCO
NY148605OtherCONNECTICARE
NY148605-9OtherWORKERS COMPENSATION
NY8279OtherPHCS
NY0994674Medicaid
NY4360135OtherAETNA NON HMO
NY86D691OtherBLUE CROSS PPO
NYWP297OtherOXFORD
NY0307888-007OtherCIGNA
NY110142525OtherRAILROAD MEDICARE
NY133884168OtherBEECH STREET
NY493761OtherAETNA HMO
NY0032002OtherGHI PPO
NY1320459OtherUNITED HEALTH CARE
NY133884168OtherMULTIPLAN
NYODO865/2C9222OtherHEALTH NET
NY0032002OtherGHI PPO
NY133884168OtherMULTIPLAN
NY1320459OtherUNITED HEALTH CARE