What is Ethan Cicero's NPI number?

Ethan Cicero's National Provider Identifier (NPI) is 1639934789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Cicero's specialty?

Ethan Cicero is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse (Nursing Service Providers).

Where is Ethan Cicero located?

Ethan Cicero's practice location on file with NPPES is 53 Carver Rd, Watertown, MA 02472-1312.

What is Ethan Cicero's phone number?

The practice phone number listed in the NPPES registry for Ethan Cicero is (561) 703-0594.

Is Ethan Cicero's NPI active?

Yes — Ethan Cicero's NPI (1639934789) is active in the NPPES registry as of the last update on 2025-02-03.

IndividualActive

Ethan Cicero, PHD, RN

NPI 1639934789 · General Practice Registered Nurse · Watertown, MA

Ethan Cicero, PHD, RN is a General Practice Registered Nurse provider in Watertown, MA (NPI 1639934789).

Provider details

NPI number: 1639934789
Entity type: Individual
Primary specialty: General Practice Registered NurseNursing Service Providers
Credential: PHD, RN
Sex: Male
Sole proprietor: Yes
License: RN10003654 (MA)

Specialties & taxonomies

General Practice Registered NursePrimary163WG0000XLicense RN10003654 (MA)
Nursing Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

53 Carver Rd

Watertown, MA 02472-1312

Phone: (561) 703-0594

Street-level locationGet directions

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Mailing address