NPIMap

Organization Active NPI

Zitelli & Brodland PC

  • MOHS-Micrographic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1184790099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD019624E Issued in PA
Legal business name
ZITELLI & BRODLAND PC
Practice address
5200 Centre Ave
Suite 303
Pittsburgh, PA 15232-1300
Phone
(412) 681-9480
Fax
(412) 681-5240
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John A. Zitelli, M.D.NPI 1962465260
Title
President
Phone
(412) 681-9480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD019624E PA Primary

Addresses

Primary practice location

5200 Centre Ave
Suite 303
Pittsburgh, PA 15232-1300

Mailing address

5200 Centre Ave
Suite 303
Pittsburgh, PA 15232-1300
Phone (412) 681-9480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040503000648 PA Part B Supplier - Clinic/Group Practice 4284622978 Receives reassigned benefits from 29 practitioners
Practice locations: Clairton, PA; Willow Grove, PA; Somerset, PA; Sewickley, PA; Pittsburgh, PA; Philadelphia, PA; Murrysville, PA; Monroeville, PA…
O20201022004244 DE Part B Supplier - Clinic/Group Practice 4284622978 Receives reassigned benefits from 3 practitioners
Practice locations: Hockessin, DE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3243 W 26th St
Erie, PA 16506
Phone (814) 836-1300

30 Lacrue Ave
Ste 104
Glen Mills, PA 19342
Phone (610) 558-1446

201 Gibraltar Rd
Ste 101
Horsham, PA 19044
Phone (215) 390-1449

2790 Mosside Blvd
Ste 105
Monroeville, PA 15146
Phone (412) 372-2277

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184790099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-681-9480",
            "fax_number": "412-681-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE",
            "address_2": "SUITE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321300",
            "telephone_number": "412-681-9480",
            "fax_number": "412-681-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZITELLI & BRODLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZITELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-681-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD019624E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.