Active NPIIndividual providerSole proprietor

Nicholas J Petriella, PA

Physician Assistant, Medical in Cranford, New Jersey

NPI Number1972855302
Practice location
198 North Ave E, Cranford, NJ 07016-2469
Fax
908-967-6126
Last updated
October 9, 2012

Nicholas J Petriella is a Physician Assistant, Medical based in Cranford, NJ. Nicholas J Petriella practices in Cranford, NJ and has the professional credentials of PA. The NPI Number for Nicholas J Petriella is 1972855302 and holds a License No. 25MP00151500 (NJ). The current practice location address for Nicholas J Petriella is 198 North Ave E, Cranford, NJ 07016-2469 and can be reached out via phone at 908-967-6124 and via fax at 908-967-6126.

Provider Profile Details

NPI Number
1972855302
Provider Name
Nicholas J Petriella
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
198 North Ave E, Cranford, NJ 07016-2469
Phone Number
908-967-6124
Fax Number
908-967-6126
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 9, 2012
Last Update Date
October 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
198 North Ave E
Cranford, NJ 07016-2469
Zip
07016-2469
Phone Number
908-967-6124
Fax Number
908-967-6126
Cranford, NJ 07016Get directions →

Provider Business Mailing Address Details

Address
198 North Ave East
Cranford, NJ 07016
City
Cranford
State
NJ
Zip
07016
Phone Number
908-967-6124
Fax Number
908-967-6126

License Information

License Number
25MP00151500
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 Nicholas J Petriella, PA?

The NPI number of Nicholas J Petriella, PA is 1972855302. It was assigned on October 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Nicholas J Petriella, PA?

Nicholas J Petriella, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NJ under license number 25MP00151500.

Where does Nicholas J Petriella, PA practice?

The practice location is 198 North Ave E, Cranford, NJ 07016-2469. The office can be reached at 908-967-6124 (phone) or 908-967-6126 (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 1972855302 directly on the NPPES registry website.

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