Active NPIIndividual provider

Joseph J Petriello III, PT

Physical Therapist in East Rutherford, New Jersey

NPI Number1235315573
Practice location
111 Union Ave Unit 4, East Rutherford, NJ 07073-2009
Fax
201-623-2584
Last updated
December 22, 2022

Joseph J. Petriello is a Physical Therapist based in East Rutherford, NJ. Joseph J. Petriello practices in East Rutherford, NJ and has the professional credentials of PT. The NPI Number for Joseph J. Petriello is 1235315573 and holds a License No. 40QA01263200 (NJ). The current practice location address for Joseph J. Petriello is 111 Union Ave Unit 4, East Rutherford, NJ 07073-2009 and can be reached out via phone at 201-347-9459 and via fax at 201-623-2584.

Provider Profile Details

NPI Number
1235315573
Provider Name
Joseph J. Petriello
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
111 Union Ave Unit 4, East Rutherford, NJ 07073-2009
Phone Number
201-347-9459
Fax Number
201-623-2584
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 17, 2008
Last Update Date
December 22, 2022
Certification Date
December 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Union Ave Unit 4
East Rutherford, NJ 07073-2009
Zip
07073-2009
Phone Number
201-347-9459
Fax Number
201-623-2584
East Rutherford, NJ 07073Get directions →

Provider Business Mailing Address Details

Address
47 Fulton St
Bloomfield, NJ 07003-2227
City
Bloomfield
State
NJ
Zip
07003-2227
Phone Number
201-230-5932

License Information

License Number
40QA01263200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · 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 Joseph J Petriello III, PT?

The NPI number of Joseph J Petriello III, PT is 1235315573. It was assigned on January 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Joseph J Petriello III, PT?

Joseph J Petriello III, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01263200.

Where does Joseph J Petriello III, PT practice?

The practice location is 111 Union Ave Unit 4, East Rutherford, NJ 07073-2009. The office can be reached at 201-347-9459 (phone) or 201-623-2584 (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 1235315573 directly on the NPPES registry website.

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