Active NPIIndividual providerSole proprietor

Raven Petronick

Physical Therapy Assistant in Bayonne, New Jersey

NPI Number1861214173
Practice location
103 E 26TH St, Bayonne, NJ 07002-4904
Fax
—
Last updated
October 28, 2024

Raven Petronick is a Physical Therapy Assistant based in Bayonne, NJ. Raven Petronick practices in Bayonne, NJ. The NPI Number for Raven Petronick is 1861214173. The current practice location address for Raven Petronick is 103 E 26TH St, Bayonne, NJ 07002-4904 and can be reached out via phone at 201-892-0234.

Provider Profile Details

NPI Number
1861214173
Provider Name
Raven Petronick
Provider Entity Type
Individual
Gender
Female
Address
103 E 26TH St, Bayonne, NJ 07002-4904
Phone Number
201-892-0234
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2024
Last Update Date
October 28, 2024
Certification Date
October 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 E 26TH St
Bayonne, NJ 07002-4904
Zip
07002-4904
Phone Number
201-892-0234
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
103 E 26TH St
Bayonne, NJ 07002-4904
City
Bayonne
State
NJ
Zip
07002-4904

License Information

Taxonomy
Physical Therapy Assistant · 225200000X · 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 Raven Petronick?

The NPI number of Raven Petronick is 1861214173. It was assigned on October 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Raven Petronick?

Raven Petronick is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X).

Where does Raven Petronick practice?

The practice location is 103 E 26TH St, Bayonne, NJ 07002-4904. The office can be reached at 201-892-0234 (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 1861214173 directly on the NPPES registry website.

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