Active NPIIndividual provider

Kristen Polentarutti, PA

Physician Assistant, Medical in Mine Hill, New Jersey

NPI Number1679135925
Practice location
195 US Highway 46 Ste 100, Mine Hill, NJ 07803-3163
Fax
—
Last updated
March 26, 2025

Kristen Polentarutti is a Physician Assistant, Medical based in Mine Hill, NJ. Kristen Polentarutti practices in Mine Hill, NJ and has the professional credentials of PA. The NPI Number for Kristen Polentarutti is 1679135925 and holds a License No. 25MP00530100 (NJ). The current practice location address for Kristen Polentarutti is 195 US Highway 46 Ste 100, Mine Hill, NJ 07803-3163 and can be reached out via phone at 973-366-7330.

Provider Profile Details

NPI Number
1679135925
Provider Name
Kristen Polentarutti
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
195 US Highway 46 Ste 100, Mine Hill, NJ 07803-3163
Phone Number
973-366-7330
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2019
Last Update Date
March 26, 2025
Certification Date
March 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 US Highway 46 Ste 100
Mine Hill, NJ 07803-3163
Zip
07803-3163
Phone Number
973-366-7330
Mine Hill, NJ 07803Get directions →

Provider Business Mailing Address Details

Address
1130 Mcbride Ave Fl 3
Woodland Park, NJ 07424-3806
City
Woodland Park
State
NJ
Zip
07424-3806
Phone Number
973-785-2277
Fax Number
973-785-2355

License Information

License Number
25MP00530100
License State
NJ
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Kristen Polentarutti, PA?

The NPI number of Kristen Polentarutti, PA is 1679135925. It was assigned on July 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Kristen Polentarutti, PA?

Kristen Polentarutti, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00530100.

Where does Kristen Polentarutti, PA practice?

The practice location is 195 US Highway 46 Ste 100, Mine Hill, NJ 07803-3163. The office can be reached at 973-366-7330 (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 1679135925 directly on the NPPES registry website.

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