Peter Andrew Vitulli Jr., DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS8005 Issued in FL

Practice address

4600 Military TRL
Suite 107
Jupiter, FL 33458-4810

Phone

(561) 427-2000

Fax

(561) 776-2565

NPI assigned

May 2, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Peter Andrew Vitulli Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Nova Southeastern College of Osteo Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: pvitulli21073@jupitermedicalcenter.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter a Vitulli Jr D O P a

  dba A Center for Dermatology Cosmetic and Laser Surgery

  • Dermatology Physician
  • Jupiter, FL
  • NPI 1306012745
  Medicare reassignment NPD Authorized official
• Mark E Pomper MD PA

  dba Horizon Medical Services

  • Radiation Oncology Physician
  • Homestead, FL
  • NPI 1184696858
  NPD (past)
• Skin and Cancer Associates

  • Dermatology Physician
  • Plantation, FL
  • NPI 1427017292
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1447218276",
    "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": {
        "last_name": "VITULLI",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS8005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "05615546",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1803436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "291080",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2299239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "VITULLI",
            "middle_name": "ANDREW",
            "suffix": "JR.",
            "credential": "D.O., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Virginia C Phipps DO Ms (Phipps Health and Wellness)
• Vista LLC (St. Joseph's Assisted Living Community)
• Visual Health at Jupiter Eye Center LLC
• Visual Health at Jupiter Eye Center LLC
• Abbie Vita
• Larisa Vivolo, LMHC
• Craig D Vogel, D.O.
• Andria Dansby Volker, APRN
• Risa Voorhees, LCSW
• Robert Voorhees Jr.

• 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 Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.