DR. MARCELLUS R CEPHAS (NPI# 1134116007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116007 |
| Entity Type | Individual |
| Full Name | DR. MARCELLUS R CEPHAS |
| Credential | MD |
| Practice Address |
327 Oriskany Blvd Whitesboro NY 13492-1422 |
| Practice Telephone | 3157687181 |
| Practice Fax Number | 3157687182 |
| Mailing Telephone | 3157687181 |
| Mailing Fax Number | 3157687182 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | D0059532 | MD | Other Service Providers |
| Y | 174400000X | Specialist | 207888 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 040426031578 | 01 |
| NY | MVP | 3000911 | 01 |
| MD | 4022891 | 05 | |
| NY | EMPIRE | 073987 | 01 |
| NY | 01769407 | 05 | |
| NY | UNITED HEALTH CARE | 629706 | 01 |
| Street Address |
327 ORISKANY BLVD |
| City | WHITESBORO |
| State | NY |
| Zip Code | 13492-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801177316 | Jill M Gustin | Marriage & Family Therapist | 327 Oriskany Blvd, Whitesboro, NY 13492-1422 | 2011-08-30 |
| 1558677963 | Mia Hope Townsend | Social Worker | 327 Oriskany Blvd, Whitesboro, NY 13492-1422 | 2010-08-23 |
| 1619004355 | New Hartford Psychiatric Services Pllc | Clinical Neuropsychologist | 327 Oriskany Blvd, Whitesboro, NY 13492-1422 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578198032 | Danielle Manolescu | Occupational Therapist | Hart's Hill Elementary School 8615 Clark Mills Road, Whitesboro, NY 13492 | 2020-03-05 |
| 1679107783 | Deanna Licari | Social Worker | 10 Main St Whitesboro Ny, Whitesboro, NY 13492 | 2020-02-27 |
| 1023588613 | Sonya L Piersma | Social Worker | 17 Harts Hill Parkway, Whitesboro, NY 13492 | 2018-11-27 |
| 1144577701 | Megan Nicholls | Specialist | 40 Bermuda Road, Whitesboro, NY 13492 | 2012-08-13 |
| 1659627438 | Allison Marie Koch | Licensed Practical Nurse | 11 Pinecrest Road, Whitesboro, NY 13492 | 2012-07-30 |
| 1417247719 | Laura Michele Sawyer | Music Therapist | 7 Old Valley Rd, Whitesboro, NY 13492 | 2011-04-08 |
| 1255503264 | Melvin Joseph Martin | Pharmacist | 141 Oriskany Blvd, Whitesboro, NY 13492 | 2008-03-31 |
| 1124189998 | John F Johnson IIi | Dentist | 277 Oriskany Blvd, Whitesboro, NY 13492 | 2006-12-13 |
| 1104924570 | William D Ryan | Family Medicine | 37 Main St., Whitesboro, NY 13492 | 2006-09-20 |
| 1487861605 | John E Konyak | Dentist | 152 Main St, Whitesboro, NY 13492 | 2007-05-17 |
| Find all providers in zip 13492 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144577701 | Megan Nicholls | Specialist | 40 Bermuda Road, Whitesboro, NY 13492 | 2012-08-13 |
| 1508120361 | Theresa M Jedrysik | Specialist | 5 Retts Rd, Whitesboro, NY 13492-3235 | 2012-06-26 |
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|---|---|---|---|---|
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| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBORO |
| Zip Code | 13492 |
Please comment or provide details below to improve the information on DR. MARCELLUS R CEPHAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.