Active NPIIndividual provider

Dr. Mark Petrovani, MD

Family Medicine in Fords, New Jersey

NPI Number1871758565
Practice location
10 Parker Pl, Fords, NJ 08863-2400
Fax
914-440-5281
Last updated
March 17, 2018

Mark Petrovani is a Family Medicine based in Fords, NJ. Mark Petrovani practices in Fords, NJ and has the professional credentials of MD. The NPI Number for Mark Petrovani is 1871758565 and holds a License No. 56427 (WI). The current practice location address for Mark Petrovani is 10 Parker Pl, Fords, NJ 08863-2400 and can be reached out via phone at 917-858-3293 and via fax at 914-440-5281.

Provider Profile Details

NPI Number
1871758565
Provider Name
Mark Petrovani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Parker Pl, Fords, NJ 08863-2400
Phone Number
917-858-3293
Fax Number
914-440-5281
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2008
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Parker Pl
Fords, NJ 08863-2400
City
Fords
Zip
08863-2400
Phone Number
917-858-3293
Fax Number
914-440-5281
Fords, NJ 08863Get directions →

Provider Business Mailing Address Details

Address
10 Parker Pl
Fords, NJ 08863-2400
City
Fords
State
NJ
Zip
08863-2400
Phone Number
917-858-3293
Fax Number
914-440-5281

License Information

License Number (1)
56427
License State (1)
WI
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
195910
License State (2)
NY
Taxonomy (2)
Family Medicine · 207Q00000X · 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. Mark Petrovani, MD?

The NPI number of Dr. Mark Petrovani, MD is 1871758565. It was assigned on July 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark Petrovani, MD?

Dr. Mark Petrovani, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WI under license number 56427.

Where does Dr. Mark Petrovani, MD practice?

The practice location is 10 Parker Pl, Fords, NJ 08863-2400. The office can be reached at 917-858-3293 (phone) or 914-440-5281 (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 1871758565 directly on the NPPES registry website.

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