Bellissimo Plastic Surgery LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD430564 Issued in PA

Legal business name

BELLISSIMO PLASTIC SURGERY LLC

Doing business as

Bellissimo Plastic Surgery

Practice address

5301 5TH Ave
Pittsburgh, PA 15232

Phone

(444) 966-6478

NPI assigned

Jun 6, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey Antimarino, MDNPI 1417067760

Title

Ceo

Phone

(844) 496-6647

Specialties & licenses 1

Addresses

Other names 1

• Bellissimo Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Antimarino, M.D.

  • Plastic Surgery Physician
  • Pittsburgh, PA
  • NPI 1417067760
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda M Papp, PA-C

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1679829063
  Medicare reassignment Care Compare group
• Angela Lynn Johnston, CRNP

  • Family Nurse Practitioner
  • Uniontown, PA
  • NPI 1013318765
  Medicare reassignment NPD

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1144600974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322194",
            "telephone_number": "844-496-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 5TH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15232",
            "telephone_number": "444-966-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLISSIMO PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-06",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "ANTIMARINO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-496-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD430564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellissimo Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellissimo Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Jo Bellis
• Enrico Bellisario, LPN
• Erin Marie Bellisario, MS-CCC/SLP
• Joan Bilotta Bellisario, PHARMACIST
• Tara Bellisario
• Brenda Bellissimo
• Dustin Belliston-Fowkes
• Casmia Wiybirwo Bello
• Gabrielle Paige Bello, DPT
• Carly Bellora

• Specialist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.