Active NPI
Peter A Tomasello Jr., DO
- Orthopaedic Surgery Physician
- Jamestown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS7358
- Practice address
- 207 Foote Ave
Jamestown, NY 14701-7077 - Phone
- (716) 483-5306
- Fax
- (716) 483-5307
- NPI assigned
- Sep 15, 2005
- Reactivated
- Mar 27, 2006
- Last updated
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS7358 | FL | Primary |
Addresses
Primary practice location
207 Foote Ave
Jamestown, NY 14701-7077
Mailing address
15 S Main St
Jamestown, NY 14701-6626
Phone (716) 488-1877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253152601 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Nova Southeastern College of Osteo Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6519 Borden Ave
Maspeth, NY 11378-1630
Phone (718) 690-3966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Cross Bay Orthopedic Surgery PC | Orthopaedic Surgery | Current | Accepting new patients |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Jamestown Area Medical Associates, L.L.P. | Orthopaedic Surgery | Current | Accepting new patients |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Great Lakes Physician Practice PC | Orthopaedic Surgery | Current | Accepting new patients |
| Mile Bluff Medical Center Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
15 S Main St
Jamestown, NY 14701
Phone (607) 846-2030
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
6519 Borden Ave
Maspeth, NY 11378
Phone (212) 355-2008
2 Hot Metal St
Pittsburgh, PA 15203
Phone (412) 235-5300
1040 Division St
Mauston, WI 53948
Phone (608) 847-5000
28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Forest Hills, NY
- NPI 1346913183
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
Orthopaedic Surgery
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
Orthopaedic Surgery
-
dba Mile Bluff Urgent Care
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
-
dba Mile Bluff ER/UC Providers
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
-
dba Mile Bluff Mauston Clinic
- Rural Health Clinic/Center
- Mauston, WI
- NPI 1881930527
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1174518120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016626",
"telephone_number": "716-488-1877",
"fax_number": "716-488-1986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FOOTE AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147017077",
"telephone_number": "716-483-5306",
"fax_number": "716-483-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASELLO",
"first_name": "PETER",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2016-07-22",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS7358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253152601",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.