Active NPIIndividual providerSole proprietor

Dr. Jill G Pedalino, DO

Pediatrics in Nutley, New Jersey

NPI Number1568471472
Practice location
675 Franklin Ave, Nutley, NJ 07110-1209
Fax
844-437-5455
Last updated
July 24, 2020

Jill Garripoli Pedalino is a Pediatrics based in Nutley, NJ. Jill Garripoli Pedalino practices in Nutley, NJ and has the professional credentials of DO. The NPI Number for Jill Garripoli Pedalino is 1568471472 and holds a License No. 25MB07995400 (NJ). The current practice location address for Jill Garripoli Pedalino is 675 Franklin Ave, Nutley, NJ 07110-1209 and can be reached out via phone at 844-437-5455 and via fax at 844-437-5455.

Provider Profile Details

NPI Number
1568471472
Provider Name
Jill Garripoli Pedalino
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
675 Franklin Ave, Nutley, NJ 07110-1209
Phone Number
844-437-5455
Fax Number
844-437-5455
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
August 7, 2006
Last Update Date
July 24, 2020
Certification Date
July 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
675 Franklin Ave
Nutley, NJ 07110-1209
City
Nutley
Zip
07110-1209
Phone Number
844-437-5455
Fax Number
844-437-5455
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
675 Franklin Ave
Nutley, NJ 07110-1209
City
Nutley
State
NJ
Zip
07110-1209
Phone Number
844-437-5455
Fax Number
862-238-7454

License Information

License Number
25MB07995400
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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. Jill G Pedalino, DO?

The NPI number of Dr. Jill G Pedalino, DO is 1568471472. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jill G Pedalino, DO?

Dr. Jill G Pedalino, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MB07995400.

Where does Dr. Jill G Pedalino, DO practice?

The practice location is 675 Franklin Ave, Nutley, NJ 07110-1209. The office can be reached at 844-437-5455 (phone) or 844-437-5455 (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 1568471472 directly on the NPPES registry website.

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