Dr. Jennifer A Petrillo, MD
Family Medicine in Clinton, New Jersey
1568566727- Practice location
- 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809
- Phone
- 908-735-7111
- Fax
- 908-730-6788
- Last updated
- May 17, 2019
Jennifer A Petrillo is a Family Medicine based in Clinton, NJ. Jennifer A Petrillo practices in Clinton, NJ and has the professional credentials of MD. The NPI Number for Jennifer A Petrillo is 1568566727 and holds a License No. 25MA07065200 (NJ). The current practice location address for Jennifer A Petrillo is 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809 and can be reached out via phone at 908-735-7111 and via fax at 908-730-6788.
Provider Profile Details
- NPI Number
- 1568566727
- Provider Name
- Jennifer A Petrillo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809
- Phone Number
- 908-735-7111
- Fax Number
- 908-730-6788
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 11, 2006
- Last Update Date
- May 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Pittstown Road
Edna Mahan Correctional Facility For Women
Clinton, NJ 08809 - City
- Clinton
- State
- New Jersey
- Zip
- 08809
- Phone Number
- 908-735-7111
- Fax Number
- 908-730-6788
Provider Business Mailing Address Details
- Address
- 40 Pittstown RD
Clinton, NJ 08809-1209 - City
- Clinton
- State
- NJ
- Zip
- 08809-1209
- Phone Number
- 908-343-1633
- Fax Number
- 908-730-5900
License Information
- License Number
- 25MA07065200
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 A Petrillo, MD?
The NPI number of Dr. Jennifer A Petrillo, MD is 1568566727. It was assigned on September 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jennifer A Petrillo, MD?
Dr. Jennifer A Petrillo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA07065200.
Where does Dr. Jennifer A Petrillo, MD practice?
The practice location is 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809. The office can be reached at 908-735-7111 (phone) or 908-730-6788 (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 1568566727 directly on the NPPES registry website.