Active NPI
Michael Pitem
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1225140155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 172818
- Practice address
- 1 Brookdale Plaza
Snapper Pavillion, RM 422
Brooklyn, NY 11212 - Phone
- (718) 240-5622
- Fax
- (718) 240-6546
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 172818 | NY | Primary |
Addresses
Primary practice location
1 Brookdale Plaza
Snapper Pavillion, RM 422
Brooklyn, NY 11212
Mailing address
80 Marcus Drive
Melville, NY 11747
Phone (631) 391-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172818 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Jamaica, NY
- NPI 1922020338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225140155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MARCUS DRIVE",
"city": "MELVILLE",
"state": "NY",
"postal_code": "11747",
"telephone_number": "631-391-8366",
"fax_number": "631-454-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA",
"address_2": "SNAPPER PAVILLION, RM 422",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-5622",
"fax_number": "718-240-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITEM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "172818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.