Active NPIIndividual provider

Jamie Petkovic, APN

Nurse Practitioner, Family in Sewell, New Jersey

NPI Number1205425204
Practice location
354 Hurffville Crosskeys RD Bldg 2, Sewell, NJ 08080-3550
Fax
844-542-2273
Last updated
October 22, 2025

Jamie Petkovic is a Nurse Practitioner, Family based in Sewell, NJ. Jamie Petkovic practices in Sewell, NJ and has the professional credentials of APN. The NPI Number for Jamie Petkovic is 1205425204 and holds a License No. 969351 (NY). The current practice location address for Jamie Petkovic is 354 Hurffville Crosskeys RD Bldg 2, Sewell, NJ 08080-3550 and can be reached out via phone at 856-582-0381 and via fax at 844-542-2273.

Provider Profile Details

NPI Number
1205425204
Provider Name
Jamie Petkovic
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
354 Hurffville Crosskeys RD Bldg 2, Sewell, NJ 08080-3550
Phone Number
856-582-0381
Fax Number
844-542-2273
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
January 13, 2021
Last Update Date
October 22, 2025
Certification Date
October 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
354 Hurffville Crosskeys RD Bldg 2
Sewell, NJ 08080-3550
City
Sewell
Zip
08080-3550
Phone Number
856-582-0381
Fax Number
844-542-2273
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
354 Hurffville Crosskeys RD Bldg 2
Sewell, NJ 08080-3550
City
Sewell
State
NJ
Zip
08080-3550
Phone Number
856-582-0381
Fax Number
844-542-2273

License Information

License Number (1)
969351
License State (1)
NY
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
355594
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (3)
26NJ01094100
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

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

Other Nurse Practitioner, Family providers near Sewell, NJ

View all Nurse Practitioner, Family providers in Sewell →

Frequently Asked Questions

What is the NPI number of Jamie Petkovic, APN?

The NPI number of Jamie Petkovic, APN is 1205425204. It was assigned on January 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Jamie Petkovic, APN?

Jamie Petkovic, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 969351.

Where does Jamie Petkovic, APN practice?

The practice location is 354 Hurffville Crosskeys RD Bldg 2, Sewell, NJ 08080-3550. The office can be reached at 856-582-0381 (phone) or 844-542-2273 (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 1205425204 directly on the NPPES registry website.

Browse related providers