Active NPIIndividual providerSole proprietor

Jacinda Pietanza, PHYSICIAN ASSISTANT

Physician Assistant in Old Bridge, New Jersey

NPI Number1194971564
Practice location
38 Kennedy Blvd, Old Bridge, NJ 08857-3935
Fax
—
Last updated
August 17, 2008

Jacinda Pietanza is a Physician Assistant based in Old Bridge, NJ. Jacinda Pietanza practices in Old Bridge, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Jacinda Pietanza is 1194971564 and holds a License No. 006449-1 (NY). The current practice location address for Jacinda Pietanza is 38 Kennedy Blvd, Old Bridge, NJ 08857-3935 and can be reached out via phone at 732-251-0154.

Provider Profile Details

NPI Number
1194971564
Provider Name
Jacinda Pietanza
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
38 Kennedy Blvd, Old Bridge, NJ 08857-3935
Phone Number
732-251-0154
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2008
Last Update Date
August 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Kennedy Blvd
Old Bridge, NJ 08857-3935
Zip
08857-3935
Phone Number
732-251-0154
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
38 Kennedy Blvd
Old Bridge, NJ 08857-3935
City
Old Bridge
State
NJ
Zip
08857-3935
Phone Number
732-251-0154

License Information

License Number
006449-1
License State
NY
Taxonomy
Physician Assistant · 363A00000X · 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 Jacinda Pietanza, PHYSICIAN ASSISTANT?

The NPI number of Jacinda Pietanza, PHYSICIAN ASSISTANT is 1194971564. It was assigned on August 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Jacinda Pietanza, PHYSICIAN ASSISTANT?

Jacinda Pietanza, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 006449-1.

Where does Jacinda Pietanza, PHYSICIAN ASSISTANT practice?

The practice location is 38 Kennedy Blvd, Old Bridge, NJ 08857-3935. The office can be reached at 732-251-0154 (phone).

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 1194971564 directly on the NPPES registry website.

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