Individual provider Active NPI

Joseph Edward Cillo Jr.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
National Provider Identifier
1932131091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS030877L Issued in PA
Practice address
305 Mount Lebanon Blvd
Suite 305
Pittsburgh, PA 15234-1511
Phone
(412) 563-7707
Fax
(412) 569-0970
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS030877L PA Primary

Addresses

Primary practice location

305 Mount Lebanon Blvd
Suite 305
Pittsburgh, PA 15234-1511

Mailing address

305 Mount Lebanon Blvd
Suite 305
Pittsburgh, PA 15234-1511
Phone (412) 563-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060810000205 PA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9436152543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dattilo and Hall LLCGroup PAC ID 7810989886, 4 clinicians

Practice addresses (Care Compare)

305 Mount Lebanon Blvd
Suite 305
Pittsburgh, PA 15234-1511
Phone (412) 563-7707

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jcillo@direct.excelahealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932131091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MOUNT LEBANON BLVD",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341511",
            "telephone_number": "412-563-7707",
            "fax_number": "412-569-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MOUNT LEBANON BLVD",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341511",
            "telephone_number": "412-563-7707",
            "fax_number": "412-569-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLO",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS030877L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.