DR. JUSTIN MICHAEL PETROCELLI


Address: 1615 Northern Blvd Ste 106, Manhasset, NY 11030-3033
Phone: 5163652500

DR. JUSTIN MICHAEL PETROCELLI (NPI# 1154558856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154558856
Entity Type Individual
Full Name DR. JUSTIN MICHAEL PETROCELLI
Credential M.D.
Practice Address 1615 Northern Blvd Ste 106
Manhasset
NY 11030-3033
Mailing Address 900 Merchants Concourse Ste 216
Westbury
NY 11590-5114
Practice Telephone 5163652500
Mailing Telephone 5162268373
Enumeration Date 2009-06-19
Last Update Date 2019-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology $$$$$$$$$ NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1615 NORTHERN BLVD STE 106
City MANHASSET
State NY
Zip Code 11030-3033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134218993 Beth R Gross Radiology 1615 Northern Blvd Ste 106, Manhasset, NY 11030-3033 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831754126 Diana Fox Registered Nurse 330 Community Drive, Manhasset, NY 11030 2019-05-02
1215470257 Melissa Fackler Registered Nurse 1350 Northern Blvd Ste 202, Manhasset, NY 11030 2016-11-23
1821443391 Sarah Javdan Family Medicine 800 Community Dr Ste 206, Manhasset, NY 11030 2016-05-03
1891167458 Stacie Thaw Lcsw Pllc Social Worker 115 Park Ave., Manhasset, NY 11030 2015-10-22
1538547971 Aarti Kumar Podiatrist 535 Plandome Rd # 2, Manhasset, NY 11030 2015-05-18
1073933586 Rachel Durante Occupational Therapist 600 Community Drive, Manhasset, NY 11030 2014-04-23
1831436435 Anesthesia Care, P.C. General Practice 565 Plandome Road, Manhasset, NY 11030 2013-01-16
1821350091 Sylvia Yoonsun Kim Pharmacist 139 Vanderbilt Ave, Manhasset, NY 11030 2012-06-13
1699062588 Rod Stern Dentist 444 Community Dr Ste 201, Manhasset, NY 11030 2011-06-30
1558654798 Alexandria Pace Kress Speech-Language Pathologist 31 Circle Dr, Manhasset, NY 11030 2011-05-20
Find all providers in zip 11030

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962602656 Freny Dara Sagar Obstetrics & Gynecology 11 Gulls Cv, Manhasset, NY 11030-1010 2007-07-20
1821168964 Allen Toles Obstetrics & Gynecology Women's Comp.health Center, 1554 Northern Boulevard, Manhasset, NY 11030 2006-11-08
1003326232 Theresa Mary Conway Obstetrics & Gynecology 300 Community Dr, Manhasset, NY 11030-3816 2017-10-02
1013398460 Sumithra Jeganathan Obstetrics & Gynecology 300 Community Dr, Manhasset, NY 11030-3816 2015-06-11
1497140487 Olivia Moskowitz Obstetrics & Gynecology 300 Community Dr, Manhasset, NY 11030-3816 2015-04-06
1215354451 Anjali Patel Obstetrics & Gynecology 300 Community Dr, Manhasset, NY 11030 2014-03-26
1609216357 Liza Solaimanzadeh Obstetrics & Gynecology 300 Community Drive, North Shore Univeristy Hospital - Manhasset, Manhasset, NY 11030 2013-06-26
1386931558 Gianni Rodriguez-ayala Obstetrics & Gynecology 300 Community Dr, Manhasset, NY 11030-3816 2011-07-07
1124317656 Melissa Ann Phipps Obstetrics & Gynecology 1554 Northern Blvd, Suite 5, Manhasset, NY 11030-3006 2011-04-05
1447557426 Christine Marie Mullin Obstetrics & Gynecology 300 Community Dr, Center for Human Reproduction, Manhasset, NY 11030-3816 2011-02-28
Find all providers in MANHASSET

Competitor

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City MANHASSET
Zip Code 11030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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