Active NPI
Neurologic Therapeutics of Pittsburgh, LLC
- Neurology Physician
- Monroeville, PA
National Provider Identifier
1831806934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC
- Practice address
- 2790 Mosside Blvd Ste 700
Monroeville, PA 15146-2761 - Phone
- (412) 527-1017
- NPI assigned
- Oct 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael John Tometsko
- Title
- Owner
- Phone
- (412) 527-1017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
2790 Mosside Blvd Ste 700
Monroeville, PA 15146-2761
Mailing address
4530 William Penn Hwy
PMB 108
Murrysville, PA 15668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902954605 | Medicaid | PA | |
| 1598761025 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Pittsburgh, PA
- NPI 1700882248
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Murrysville, PA
- NPI 1780942953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1831806934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 WILLIAM PENN HWY",
"address_2": "PMB 108",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "15668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 MOSSIDE BLVD STE 700",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462761",
"telephone_number": "412-527-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A",
"authorized_official_last_name": "TOMETSKO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "412-527-1017"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902954605",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598761025",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.