Individual provider Active NPI

Robert S Nitzberg, MD

  • Cardiovascular Disease Physician
  • Leetsdale, PA
National Provider Identifier
1114947710
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD018295E Issued in PA
Practice address
12 Quaker Village Shopping Ctr
Ohio River Blvd Ste 2
Leetsdale, PA 15056-1206
Phone
(724) 773-4502
Fax
(412) 749-6787
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD018295E PA Primary

Addresses

Primary practice location

12 Quaker Village Shopping Ctr
Ohio River Blvd Ste 2
Leetsdale, PA 15056-1206

Mailing address

2349 Mill St
Aliquippa, PA 15001-2219
Phone (412) 283-6262

Other identifiers 1

IdentifierTypeStateIssuer
0009555180001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD018295EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Associates LLC CurrentSince Nov 11, 2018 Accepting new patients
Special Services Cardiology Cardiovascular Disease Past Accepting new patients
Pcma Physical Medicine & Rehabilitation LLC PastSince Oct 21, 2018 Accepting new patients

Locations

2349 Mill St
Aliquippa, PA 15001
Phone (412) 283-6262

2349 Mill St
Ofc
Aliquippa, PA 15001
Phone (412) 406-8376

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Interoperability endpoints

  • Direct secure messaging: robertnitzberg@hvhs.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1114947710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MILL ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012219",
            "telephone_number": "412-283-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUAKER VILLAGE SHOPPING CTR",
            "address_2": "OHIO RIVER BLVD STE 2",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "150561206",
            "telephone_number": "724-773-4502",
            "fax_number": "412-749-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZBERG",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD018295E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009555180001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leetsdale, PA

Sources for this page

Verify at the official NPI Registry.