Active NPIIndividual provider

Kimberly A Petrolia

Peer Specialist in Fair Lawn, New Jersey

NPI Number1548155492
Practice location
22-08 Route 208, Fair Lawn, NJ 07410-2609
Fax
—
Last updated
June 11, 2025

Kimberly Ann Petrolia is a Peer Specialist based in Fair Lawn, NJ. Kimberly Ann Petrolia practices in Fair Lawn, NJ. The NPI Number for Kimberly Ann Petrolia is 1548155492 and holds a License No. 50625 (NJ). The current practice location address for Kimberly Ann Petrolia is 22-08 Route 208, Fair Lawn, NJ 07410-2609 and can be reached out via phone at 201-846-4941.

Provider Profile Details

NPI Number
1548155492
Provider Name
Kimberly Ann Petrolia
Provider Entity Type
Individual
Address
22-08 Route 208, Fair Lawn, NJ 07410-2609
Phone Number
201-846-4941
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2025
Last Update Date
June 11, 2025
Certification Date
June 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-08 Route 208
Fair Lawn, NJ 07410-2609
Zip
07410-2609
Phone Number
201-846-4941
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
22-08 Route 208
Fair Lawn, NJ 07410-2609
City
Fair Lawn
State
NJ
Zip
07410-2609
Phone Number
201-846-4941

License Information

License Number
50625
License State
NJ
Taxonomy
Peer Specialist · 175T00000X · 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 Kimberly A Petrolia?

The NPI number of Kimberly A Petrolia is 1548155492. It was assigned on June 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Kimberly A Petrolia?

Kimberly A Petrolia is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in NJ under license number 50625.

Where does Kimberly A Petrolia practice?

The practice location is 22-08 Route 208, Fair Lawn, NJ 07410-2609. The office can be reached at 201-846-4941 (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 1548155492 directly on the NPPES registry website.

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