PETER J PISTILLI (NPI# 1639209992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639209992 |
| Entity Type | Individual |
| Full Name | PETER J PISTILLI |
| Credential | CPO |
| Practice Address |
1280 Scottsville Rd Suite 50 Rochester NY 14624-5147 |
| Practice Telephone | 5854367550 |
| Practice Fax Number | 5854364022 |
| Mailing Telephone | 5854367550 |
| Mailing Fax Number | 5854364022 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | CPO00981 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | CPO00981 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01459943 | 05 |
| Street Address |
1280 SCOTTSVILLE RD SUITE 50 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083728653 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 1280 Scottsville Rd, Suite 20, Rochester, NY 14624-5147 | 2006-08-19 |
| 1174975288 | Metro Transportation Inc. | Non-emergency Medical Transport (VAN) | 1280 Scottsville Rd, Suite 90, Rochester, NY 14624-5147 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620364 | Vanessa Crumity | Prosthetist | 970 Clinton Ave S, Rochester, NY 14620-2073 | 2019-03-26 |
| 1043705924 | Keturah S. Clark | Prosthetist | 936 Exchange St Ste E-103, Rochester, NY 14608-2801 | 2018-06-24 |
| 1184107237 | Tiffani Devine | Prosthetist | 200 Buell Rd, Rochester, NY 14624-3134 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128393 | Antoinette Natalie Massiah | Prosthetist | 1246 Sterling Pl, Brooklyn, NY 11213-2719 | 2020-09-14 |
| 1265044036 | Joel Gunderson | Prosthetist | 411 W 52nd St Apt 2a, New York, NY 10019-5637 | 2020-08-21 |
| 1366052086 | New Wig Salon | Prosthetist | 378 Ridgefield Rd, Hauppauge, NY 11788-2316 | 2020-08-06 |
| 1285270066 | Core To Core LLC | Prosthetist | 1507 Avenue M Ste 200, Brooklyn, NY 11230-5210 | 2019-11-27 |
| 1487202339 | Christine Anna Booker-sommer | Prosthetist | 1064 Harlem Rd, Cheektowaga, NY 14227-1739 | 2019-09-03 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| 1063983864 | Allensia Annette Brown | Prosthetist | 368 Langfield Dr, Buffalo, NY 14215-3459 | 2018-12-06 |
| 1457839177 | Lindsay Rouse | Prosthetist | 818 E 225th St, Bronx, NY 10466-4406 | 2018-08-03 |
| 1689164147 | Nneka Smith | Prosthetist | 691 Van Siclen Ave # 1, Brooklyn, NY 11207-7204 | 2018-05-10 |
| 1467780882 | Sewpersaud R Madho | Prosthetist | 1479 Parkwood Blvd, Suite 101, Schenectady, NY 12308-2525 | 2009-11-23 |
| Find all providers with the same taxonomy | ||||
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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.