Individual provider Active NPI

Kyle Christian Pillitteri, PA-C

  • Physician Assistant
  • Mercerville, NJ
National Provider Identifier
1245519941
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00263800 Issued in NJ
Practice address
1225 Whitehorse Mercerville Rd
BLDG. D, Suite 220
Mercerville, NJ 08619-3882
Phone
(609) 581-2200
Fax
(609) 581-9627
NPI assigned
Aug 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00263800 NJ Primary

Addresses

Primary practice location

1225 Whitehorse Mercerville Rd
BLDG. D, Suite 220
Mercerville, NJ 08619-3882

Mailing address

1225 Whitehorse Mercerville Rd
BLDG. D, Suite 220
Mercerville, NJ 08619-3882
Phone (609) 581-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111109000660 NJ Practitioner - Physician Assistant 2365615226 Reassigns benefits to 1 organization
I20140805001815 PA Practitioner - Physician Assistant 2365615226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians

Practice addresses (Care Compare)

100 K Johnson Blvd
Suite 202
Bordentown, NJ 08505-2275
Phone (800) 321-9999

116 Washington Crossing Rd
Pennington, NJ 08534-2514
Phone (609) 581-2200

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00263800NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 18, 2017 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Sep 18, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 18, 2017 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 18, 2017 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

1225 Whitehorse Mercerville Rd
Ste 220
Trenton, NJ 08619
Phone (609) 570-2212

1079 White Horse Mercerville Rd
Trenton, NJ 08610
Phone (973) 747-7311

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: kyle.pillitteri@rot.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1245519941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG. D, SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG. D, SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLITTERI",
        "first_name": "KYLE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00263800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.