Active NPIOrganization

Tina M. Petillo DO PA

Obstetrics & Gynecology in Livingston, New Jersey

NPI Number1811161557
Practice location
340 E Northfield RD, Suite 2E, Livingston, NJ 07039-4892
Fax
973-716-0306
Last updated
March 30, 2011

Tina M. Petillo DO PA is a healthcare organization based in Livingston, NJ. Tina M. Petillo DO PA practices in Livingston, NJ. The NPI Number for Tina M. Petillo DO PA is 1811161557 and holds a License No. 25MB04450300 (NJ). The current practice location address for Tina M. Petillo DO PA is 340 E Northfield RD, Suite 2E, Livingston, NJ 07039-4892 and can be reached out via phone at 973-533-0001 and via fax at 973-716-0306.

Provider Profile Details

NPI Number
1811161557
Provider Name
Tina M. Petillo DO PA
Provider Entity Type
Organization
Address
340 E Northfield RD, Suite 2E, Livingston, NJ 07039-4892
Phone Number
973-533-0001
Fax Number
973-716-0306
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Organization Subpart
No
Authorized Official
Tina M Petillo, DO · Doctor · 973-533-0001
Provider Enumeration Date
April 14, 2008
Last Update Date
March 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 E Northfield RD
Suite 2E
Livingston, NJ 07039-4892
Zip
07039-4892
Phone Number
973-533-0001
Fax Number
973-716-0306
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
340 E Northfield RD
Suite 2E
Livingston, NJ 07039-4892
City
Livingston
State
NJ
Zip
07039-4892
Phone Number
973-533-0001
Fax Number
973-716-0306

License Information

License Number
25MB04450300
License State
NJ
Taxonomy
Obstetrics & Gynecology · 207V00000X · 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 Tina M. Petillo DO PA?

The NPI number of Tina M. Petillo DO PA is 1811161557. It was assigned on April 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Tina M. Petillo DO PA?

Tina M. Petillo DO PA is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in NJ under license number 25MB04450300.

Where does Tina M. Petillo DO PA practice?

The practice location is 340 E Northfield RD, Suite 2E, Livingston, NJ 07039-4892. The office can be reached at 973-533-0001 (phone) or 973-716-0306 (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 1811161557 directly on the NPPES registry website.

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