DR. ALYSSA MARIE PICCILLO DPM NPI 1235513763

NPI Information

NPI: 1235513763
Provider Name: DR. ALYSSA MARIE PICCILLO, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
500 FAIRMOUNT AVE FL 1
PHILADELPHIA, PA
ZIP 19123
Phone: (267) 909-9594
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DR. Alyssa Marie Piccillo, DPM is a foot and ankle surgery podiatrist in Philadelphia, PA with 9 years of experience. DR. Alyssa Marie Piccillo, DPM NPI is 1235513763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 FAIRMOUNT AVE FL 1
PHILADELPHIA, PA
ZIP 19123-890
Phone: (267) 909-9594
Fax: (267) 367-5559

The NPI 1235513763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/14/2015 and was last updated on 6/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC006672	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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