Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS J PETRIELLA, PA
Active Sole ProprietorNICHOLAS J PETRIELLA, PA is a Medical Physician Assistant healthcare provider located in CRANFORD, New Jersey. NPI 1972855302 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CRANFORD, NJ
Registration Details
- NPI Number
- 1972855302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2012 (13.872581679127 yrs)
- Last Updated
- Oct 9, 2012
- License
-
25MP00151500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
198 NORTH AVE ECRANFORD, NJ, 070162469Browse NJ providers · Browse ZIP 07016
- Phone
- 9089676124
- Fax
- 9089676126
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CRANFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| NIKOLETTA ANTCZAK | PA-C | 1306544259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.