Mary Carol Antonelli, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP000555C Issued in PA

Practice address

3601 Fifth Ave
Falk Medical Building
Pittsburgh, PA 15213

Phone

(412) 647-6700

Fax

(412) 692-4313

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Carol Vereb Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750417846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 MACARTHUR DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15228",
            "telephone_number": "412-531-3955",
            "fax_number": "412-692-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 FIFTH AVE",
            "address_2": "FALK MEDICAL BUILDING",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-6700",
            "fax_number": "412-692-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONELLI",
        "first_name": "MARY",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP000555C",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9245928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "VEREB",
            "middle_name": "CAROL",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordann Christina Antoan, OTR/L
• Bogdan Anton, MD
• Rudolph Antoncic
• Brianne Antonella
• Jennifer Lynn Antonelli, DPT
• Vincent Pierre Antonelli, MD
• Antonio a Fargiano MD PC
• Stavroula Antonopoulou, DDS, MS
• Samuel Antoon
• Thomas J Antos, MD

• Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nurse Practitioner 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.