Active NPI
Elise Robinson Pizzi, CRNP
- Gerontology Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1558317420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- VP004082H
- Practice address
- 2130 S 21St St
Philadelphia, PA 19145-3401 - Phone
- (215) 925-3566
- Fax
- (215) 925-2990
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | VP004082H | PA | Primary |
Addresses
Primary practice location
2130 S 21St St
Philadelphia, PA 19145-3401
Mailing address
2130 S 21St St
Philadelphia, PA 19145-3401
Phone (215) 925-3566
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VP004082H | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pma Medical Specialists | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Broomall, PA
- NPI 1043212137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1558317420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 S 21ST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453401",
"telephone_number": "215-925-3566",
"fax_number": "215-925-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 S 21ST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453401",
"telephone_number": "215-925-3566",
"fax_number": "215-925-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZI",
"first_name": "ELISE",
"middle_name": "ROBINSON",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "VP004082H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.