Piatra Neamț lies in the Bistrița River Valley, surrounded by mountains — Pietricica (530 m), Cozla (679 m), Cernegura (852 m), Bâtca Doamnei (462 m) and Cârloman (617 m) — at an average height of 345 m (1,131.89 ft).

The city is located 350 kilometres (217 miles) north of Bucharest, in the historical region of Moldavia.
The nearest airport is Bacău, situated 60 km (37 miles) south.
Piatra Neamț is linked by Romanian railways trunk number 509 to Bacău (and from there by 500 to Bucharest), and by DN15 national road to Bacău (therefore by DN2 to Bucharest), Iași, Suceava, and Târgu Mureș in the Transylvania region.

The city is informally divided in several districts (in Romanian: cartiere):
1 Mai
Băcioaia
Centru
Ciritei
Dărmănești
Doamna
Gara Veche
Mărăței
Precista
Sarata
Speranța
Valea Viei
Văleni
Vânători
Of these, Ciritei, Doamna, and Văleni are formally separate villages administered by the municipality.
There are plans to build two new districts, the larger of which will be on the site of the former Reconstrucția factory.
Piatra Neamț lies in the Bistrița River Valley, surrounded by mountains — Pietricica (530 m), Cozla (679 m), Cernegura (852 m), Bâtca Doamnei (462 m) and Cârloman (617 m) — at an average height of 345 m (1,131.89 ft).
The city is located 350 kilometres (217 miles) north of Bucharest, in the historical region of Moldavia. The nearest airport is Bacău, situated 60 km (37 miles) south. Piatra Neamț is linked by Romanian railways trunk number 509 to Bacău (and from there by 500 to Bucharest), and by DN15 national road to Bacău (therefore by DN2 to Bucharest), Iași, Suceava, and Târgu Mureș in the Transylvania region.
The city is informally divided in several districts (in Romanian: cartiere):
1 Mai
Băcioaia
Centru
Ciritei
Dărmănești
Doamna
Gara Veche
Mărăței
Precista
Sarata
Speranța
Valea Viei
Văleni
Vânători
Of these, Ciritei, Doamna, and Văleni are formally separate villages administered by the municipality. There are plans to build two new districts, the larger of which will be on the site of the former Reconstrucția factory.
Piatra Neamț