Peter a Vitulli Jr D O P a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS8005 Issued in FL

Legal business name

PETER A VITULLI JR D O P A

Practice address

4600 Military TRL
Suite 107
Jupiter, FL 33458-4810

Phone

(561) 427-2000

Fax

(561) 776-2565

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Peter A Vitulli Jr., DONPI 1447218276

Title

Physician/Ceo

Phone

(561) 427-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A CENTER FOR DERMATOLOGY COSMETIC AND LASER SURGERY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Andrew Vitulli Jr., DO

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1447218276
  Medicare reassignment NPD Authorized official
• Alisabeth Ross, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1619528221
  Medicare reassignment NPD
• Dana Jean Glass, ARNP

  • Nurse Practitioner
  • Jupiter, FL
  • NPI 1083268940
  NPD
• Brandie Lee Renart Teitler, PA-C

  • Medical Physician Assistant
  • Stuart, FL
  • NPI 1619646866
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1306012745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-427-2000",
            "fax_number": "561-776-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "SUITE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-427-2000",
            "fax_number": "561-776-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A VITULLI JR D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "VITULLI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "561-427-2000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS8005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- ID TYPE",
            "identifier": "81700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A CENTER FOR DERMATOLOGY COSMETIC AND LASER SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Peros, PSY.D., R.N.
• Anthony E Perrotti, D.O.
• Andrea Perry, ARNP
• Personal Care Physical Therapy
• Personal Choice Family Practice Inc.
• Melissa Peters, DSC, MHNE
• L Pettersen
• Sandra Lee Pezzino, COTA
• PGL Medical Group, PA
• Pharmacy at Abacoa Inc

• Dermatology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.