MEDICARE: NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831806934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC

Provider Business Mailing Address
First Line	:	4530 WILLIAM PENN HWY
Second Line	:	PMB 108
City	:	MURRYSVILLE
State	:	PA
Zip	:	15668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 MOSSIDE BLVD STE 700
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2761
Country	:	US
Telephone Number	:	412-527-1017
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL JOHN TOMETSKO
Credential	:
Telephone Number	:	412-527-1017

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	10/31/2022

Similar Medicare Providers

1154972974 — EUGENE A BONAROTI MD FAC LLC
Practice Location Address:

2790 MOSSIDE BLVD STE 700
MONROEVILLE, PA
15146-2761

Practice Phone: 412-275-0227
Practice Fax: 412-291-2111

1770123242 — MELANIE STEPHENS CHANDLER CRNP
Practice Location Address:

2550 MOSSIDE BLVD STE 405
MONROEVILLE, PA
15146-3533

Practice Phone: 412-373-1600
Practice Fax: 412-373-4197

1427992239 — MICHELLE AISLINN JACKSON
Practice Location Address:

4055 MONROEVILLE BLVD STE 300
MONROEVILLE, PA
15146-2522

Practice Phone: 412-612-2865
Practice Fax:

1811877269 — MS. LINDSAY BETH HALL PA
Practice Location Address:

4318 NORTHERN PIKE STE 201
MONROEVILLE, PA
15146-2824

Practice Phone: 412-221-0123
Practice Fax: 412-774-1772

1134221336 — MS. LYNN ANN WEGRZYNEK CCC/SLP
Practice Location Address:

900 MACBETH DR , SUITE #1
MONROEVILLE, PA
15146-3340

Practice Phone: 412-372-1783
Practice Fax: 412-372-1472

1619596095 — SPENCER S LIEM MD
Practice Location Address:

400 OXFORD DR STE 100
MONROEVILLE, PA
15146-6310

Practice Phone: 412-380-5063
Practice Fax:

Directions to “NEUROLOGIC THERAPEUTICS OF PITTSBURGH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.