Active NPI
Maryann Pittello, PA-C
- Physician Assistant
- Reading, PA
National Provider Identifier
1013008960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA002418L
- Practice address
- 145 N 6TH St FL 3
Reading, PA 19601-3501 - Phone
- (610) 208-4717
- Fax
- (610) 208-4718
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA002418L | PA | Primary |
Addresses
Primary practice location
145 N 6TH St FL 3
Reading, PA 19601-3501
Mailing address
84 Longcross Rd
Limerick, PA 19468-1395
Phone (610) 208-4717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110405000123 | PA | Order and Referring Only - Physician Assistant | 3476737198 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013008960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 LONGCROSS RD",
"city": "LIMERICK",
"state": "PA",
"postal_code": "194681395",
"telephone_number": "610-208-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 N 6TH ST FL 3",
"city": "READING",
"state": "PA",
"postal_code": "196013501",
"telephone_number": "610-208-4717",
"fax_number": "610-208-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTELLO",
"first_name": "MARYANN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA002418L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.