Individual provider Active NPI

Justin Makoto Pittullo

  • Counselor
  • Hilo, HI
National Provider Identifier
1467745778
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489
Phone
(808) 961-7000
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489

Mailing address

214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489
Phone (808) 961-7000

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

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1467745778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WAIANUENUE AVE STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202489",
            "telephone_number": "808-961-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WAIANUENUE AVE STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202489",
            "telephone_number": "808-961-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTULLO",
        "first_name": "JUSTIN",
        "middle_name": "MAKOTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.