Active NPI
Telos Health Systems PA PLLC
- Internal Medicine Physician
- Erie, PA
National Provider Identifier
1205798956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TELOS HEALTH SYSTEMS PA PLLC
- Practice address
- 4850 Zuck Rd
Erie, PA 16506-4936 - Phone
- (201) 217-6777
- NPI assigned
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Albert Renzi
- Title
- Member
- Phone
- (201) 217-6777
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4850 Zuck Rd
Erie, PA 16506-4936
Mailing address
980 Sylvan Ave
Englewood, NJ 07632-3315
Phone (201) 217-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1205798956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 SYLVAN AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076323315",
"telephone_number": "201-217-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064936",
"telephone_number": "201-217-6777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELOS HEALTH SYSTEMS PA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-02",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "RENZI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "201-217-6777",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.