Active NPIIndividual provider

Dr. Jennifer Petrongolo, PSYD, MSW

Psychologist, Clinical in Neptune, New Jersey

NPI Number1265957989
Practice location
2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102
Fax
—
Last updated
March 14, 2025

Jennifer Petrongolo is a Psychologist, Clinical based in Neptune, NJ. Jennifer Petrongolo practices in Neptune, NJ and has the professional credentials of PSYD, MSW. The NPI Number for Jennifer Petrongolo is 1265957989 and holds a License No. 35SI00626700 (NJ). The current practice location address for Jennifer Petrongolo is 2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102 and can be reached out via phone at 732-988-3441.

Provider Profile Details

NPI Number
1265957989
Provider Name
Jennifer Petrongolo
Credential
PSYD, MSW
Provider Entity Type
Individual
Gender
Female
Address
2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102
Phone Number
732-988-3441
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2017
Last Update Date
March 14, 2025
Certification Date
March 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Route 33 Ste 9-10
Neptune, NJ 07753-6102
Zip
07753-6102
Phone Number
732-988-3441
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
2100 Route 33 Ste 9-10
Neptune, NJ 07753
City
Neptune
State
NJ
Zip
07753
Phone Number
732-988-3441

License Information

License Number
35SI00626700
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. Jennifer Petrongolo, PSYD, MSW?

The NPI number of Dr. Jennifer Petrongolo, PSYD, MSW is 1265957989. It was assigned on August 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Petrongolo, PSYD, MSW?

Dr. Jennifer Petrongolo, PSYD, MSW is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00626700.

Where does Dr. Jennifer Petrongolo, PSYD, MSW practice?

The practice location is 2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102. The office can be reached at 732-988-3441 (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 1265957989 directly on the NPPES registry website.

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