Active NPIIndividual providerSole proprietor

Dr. Vito Petruzzella, DPM

Podiatrist, Foot & Ankle Surgery in Hoboken, New Jersey

NPI Number1104897552
Practice location
108 Washington St, Hoboken, NJ 07030-4659
Fax
201-659-0847
Last updated
June 30, 2015

Vito Petruzzella is a Podiatrist, Foot & Ankle Surgery based in Hoboken, NJ. Vito Petruzzella practices in Hoboken, NJ and has the professional credentials of DPM. The NPI Number for Vito Petruzzella is 1104897552 and holds a License No. MD001537 (NJ). The current practice location address for Vito Petruzzella is 108 Washington St, Hoboken, NJ 07030-4659 and can be reached out via phone at 201-659-5222 and via fax at 201-659-0847.

Provider Profile Details

NPI Number
1104897552
Provider Name
Vito Petruzzella
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
108 Washington St, Hoboken, NJ 07030-4659
Phone Number
201-659-5222
Fax Number
201-659-0847
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
February 1, 2006
Last Update Date
June 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Washington St
Hoboken, NJ 07030-4659
Zip
07030-4659
Phone Number
201-659-5222
Fax Number
201-659-0847
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
710 Somerset St
Watchung, NJ 07069-4941
City
Watchung
State
NJ
Zip
07069-4941
Phone Number
908-834-8810
Fax Number
908-834-8814

License Information

License Number (1)
MD001537
License State (1)
NJ
Taxonomy (1)
Podiatrist · 213E00000X
License Number (2)
25MD00153700
License State (2)
NJ
Taxonomy (2)
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vito Petruzzella, DPM?

The NPI number of Dr. Vito Petruzzella, DPM is 1104897552. It was assigned on February 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Vito Petruzzella, DPM?

Dr. Vito Petruzzella, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number MD001537.

Where does Dr. Vito Petruzzella, DPM practice?

The practice location is 108 Washington St, Hoboken, NJ 07030-4659. The office can be reached at 201-659-5222 (phone) or 201-659-0847 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104897552 directly on the NPPES registry website.

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