John M. Pulito, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD044264E Issued in PA

Practice address

390 Linden St
Meadville, PA 16335-3026

Phone

(814) 724-5122

Fax

(814) 724-8276

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Robert a. Santora M.D.P.C

  dba Meadville Opthalmology Associates

  • Ophthalmology Physician
  • Meadville, PA
  • NPI 1326069691
  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578586103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULITO",
        "first_name": "JOHN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD044264E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011696860003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Prenatt, PA-C
• Lauren E Preston, DPT, ATC
• David R Price, CRNA
• Primary Care Services
• Private Healthcare Facilities
• Anthony James Quindardo, PA-C
• R. W. Petruso Hearing and Audiology Center, Inc
• Nathan Radicella, PHARM. D.
• Radserve, LLC
• Muhammad Mujibur Rahman, M.D.

• Ophthalmology Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.