PAUL CICERO JR. (NPI# 1245645969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245645969 |
| Entity Type | Individual |
| Full Name | PAUL CICERO JR. |
| Credential | ATC, CES |
| Practice Address |
264 Bridgeport Ave Medford NY 11763-4019 |
| Mailing Address |
264 Bridgeport Avneue Medford NY 11763 |
| Practice Telephone | 5164561693 |
| Mailing Telephone | 5164561693 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
002205 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
264 BRIDGEPORT AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135069 | Kaitlin Elizabeth Schaaf | Specialist/Technologist | 106 Lincoln Rd, Medford, NY 11763-1660 | 2020-02-07 |
| 1174005490 | Miranda Doyle | Specialist/Technologist | 126 Pine Valley Dr, Medford, NJ 08055-9214 | 2018-09-04 |
| 1508372343 | Kip Patterson | Specialist/Technologist | 600 Tabernacle Rd, Medford, NJ 08055-9732 | 2017-12-15 |
| 1326493222 | Mary-kate Dunne | Specialist/Technologist | 60 Highbridge Blvd, Medford, NJ 08055-3340 | 2016-04-28 |
| 1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
| 1538415591 | William John Vonleer | Specialist/Technologist | 235 Hartford Rd, Lenape High School, Medford, NJ 08055-4001 | 2012-07-27 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| 1881705085 | Mark James Doughtie | Specialist/Technologist | 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155 | 2006-08-31 |
| 1558391151 | James E Walker | Specialist/Technologist | 489 Winthrop St, Medford, MA 02155-2349 | 2006-07-03 |
| 1205468501 | Danielle Monteiro | Specialist/Technologist | 161 College Ave, Medford, MA 02155-5593 | 2020-02-05 |
| Find all providers in MEDFORD | ||||
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| 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.