Marc P Pietropaoli MD PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

206556 Issued in NY

Legal business name

MARC P PIETROPAOLI MD PC

Doing business as

Victory Sports Medicine & Orthopedics

Practice address

791 W Genesee Street Rd
Skaneateles, NY 13152-9377

Phone

(315) 685-7544

Fax

(315) 685-7549

NPI assigned

Aug 7, 2006

Last updated

Aug 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Swartwood

Title

Billing Coordinator

Phone

(315) 685-7544

Specialties & licenses 1

Addresses

Other names 1

• Victory Sports Medicine & Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen P Berwind, MSN NP

  • Family Nurse Practitioner
  • Skaneateles, NY
  • NPI 1487755294
  Medicare reassignment NPD
• Jacquelyn Leslie, DPT

  • Physical Therapist
  • Skaneateles, NY
  • NPI 1588144406
  Medicare reassignment NPD
• Darcy Lyndaker, DPT

  • Physical Therapist
  • Webster, NY
  • NPI 1669852828
  Medicare reassignment NPD
• David Thomas Wheat, DPT

  • Physical Therapist
  • Skaneateles, NY
  • NPI 1285248229
  Medicare reassignment NPD
• Carl Calabrese, DPT

  • Physical Therapist
  • Las Cruces, NM
  • NPI 1366877425

  NY

  Medicare reassignment NPD
• Joshua Daniel Justin, PA-C

  • Medical Physician Assistant
  • Skaneateles, NY
  • NPI 1679909790
  Medicare reassignment
• Lauren M. Macdonald, PT

  • Physical Therapist
  • Skaneateles, NY
  • NPI 1548218423
  Medicare reassignment
• David Allen Mizro, PA

  • Surgical Physician Assistant
  • Auburn, NY
  • NPI 1205882016
  Medicare reassignment

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1467461376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529377",
            "telephone_number": "315-685-7544",
            "fax_number": "315-685-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529377",
            "telephone_number": "315-685-7544",
            "fax_number": "315-685-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC P PIETROPAOLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "SWARTWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "315-685-7544"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "206556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Sports Medicine & Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Maureen Macdonald
• Lauren M. Macdonald, PT
• Bridget Mahoney
• Olivia Mancabelli, MA, RDN
• Holly Manchester
• Bader Masoud, PHYSICIAN ASSISTANT
• John J Maurillo Jr., O.D.
• Arianna Elysse Mejias, MS, RD, LDN
• Melissa M Kallfelz Choosing Change Counseling Service
• Kristie Miller, RD, LDN, CPT

• Sports Medicine (Orthopaedic Surgery) Physician in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.