DR. ROBERT CORTESE PETRUCELLI (NPI# 1912976267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912976267 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CORTESE PETRUCELLI |
| Credential | MD, PA |
| Practice Address |
66 Sunset Strip Ste 208 Succasunna NJ 07876 |
| Practice Telephone | 9732520333 |
| Practice Fax Number | 9732520220 |
| Mailing Telephone | 9732520333 |
| Mailing Fax Number | 9732520220 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA03332600 | NJ | Other Service Providers |
| Y | 207X00000X | Orthopaedic Surgery | 25MA03332600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE PTAN | 110942 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548420508 | Robert P. Petrucelli | Physical Medicine & Rehabilitation | 462 1st Ave, Dept. of Rehabilitation Medicine, New Bellevue 6, 6s3, New York, NY 10016-9196 | 2008-06-12 |
| Street Address |
66 SUNSET STRIP STE 208 |
| City | SUCCASUNNA |
| State | NJ |
| Zip Code | 07876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155041 | Robert Scott Pinke | Specialist | 66 Sunset Strip, Ste 107, Succasunna, NJ 07876-1362 | 2005-06-28 |
| 1700387693 | Katherine Cecilia Collins | Nurse Practitioner | 66 Sunset Strip, Succasunna, NJ 07876-1345 | 2018-02-26 |
| 1780127043 | Alexis Dickover | Physical Therapist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876-1345 | 2016-11-18 |
| 1982095055 | Maureen E. Mcgrath | Registered Nurse | 66 Sunset Strip, Suite 208, Succasunna, NJ 07876-1345 | 2015-02-11 |
| 1013342609 | North Jersey Sports Medicine & Orthopedic Center, LLC | Specialist | 66 Sunset Strip, Suite 400, Succasunna, NJ 07876 | 2013-09-13 |
| 1174967624 | Shari Dawn Botta | Physical Therapy Assistant | 66 Sunset Strip, Suite 400 Town Center, Succasunna, NJ 07876-1345 | 2013-04-25 |
| 1467795542 | Frank and Sussman, Inc. | Physical Therapist | 66 Sunset Strip, Suite 409, Succasunna, NJ 07876-1345 | 2013-03-27 |
| 1366713737 | Roxbury Surgi Center, LLC | Clinic/Center | 66 Sunset Strip, Suite101, Succasunna, NJ 07876 | 2012-01-18 |
| 1477869782 | Chester I. Stone. M.d. P.a. | Urology | 66 Sunset Strip, # 300, Succasunna, NJ 07876 | 2010-08-24 |
| 1477790582 | Stephen C Frank | Physical Therapist | 66 Sunset Strip, Suite 409, Succasunna, NJ 07876-1345 | 2009-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612518 | Tara Gerke | Dietitian, Registered | 281 State Route 10 E, Attn: Registered Dietitian, Succasunna, NJ 07876 | 2018-06-11 |
| 1942606314 | Mary D'elia | Speech-Language Pathologist | 3 Kingston Lane, Succasunna, NJ 07876 | 2014-11-13 |
| 1003157793 | Eric David Frank | Dentist | 168 Rte 10 W, Succasunna, NJ 07876 | 2013-03-06 |
| 1497012645 | Leon Grazul Jr. | Pharmacist | 2 Roxbury Mall Strip, Shop Rite Pharmacy, Succasunna, NJ 07876 | 2012-04-12 |
| 1922398411 | Amanda C Seiz | Occupational Therapist | 200 Nj 10, Succasunna, NJ 07876 | 2011-04-18 |
| 1841455805 | Kathryn R Aschoff | Physical Therapist | 200 Route10 West, Sucassunna, NJ 07876 | 2008-07-18 |
| 1366657876 | Paul G Chiodo | Specialist | 151 Rt. 10 East, Suite 201, Succasunna, NJ 07876 | 2007-05-10 |
| 1568585347 | Ann Marie Pagano | Social Worker | 151 Route 10 East, Suite 204, Succasunna, NJ 07876 | 2007-04-09 |
| 1558483768 | Barbara Skinner | Dentist | 281-101 Route 10 East, Roxbury Mall, Succasunna, NJ 07876 | 2007-04-06 |
| 1740325844 | Jerome Gliksberg | Dentist | 22 Rt 10 West, Ste 102, Succasunna, NJ 07876 | 2007-02-20 |
| Find all providers in zip 07876 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
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|---|---|---|---|---|
| 1396342507 | Virtua Medical Group, Pa | Orthopaedic Surgery | 1315 Route 9 S Ste 101, Cape May Court House, NJ 08210-2931 | 2020-10-01 |
| 1811501521 | Genfit Medical LLC | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 765, Ridgewood, NJ 07450-3815 | 2020-09-01 |
| 1285257212 | Nexgen Wellness | Orthopaedic Surgery | 33 E Midland Ave Unit 1365, Paramus, NJ 07652-2916 | 2020-05-26 |
| 1558984955 | Orozco Orthopaedics LLC | Orthopaedic Surgery | 517 Route 72 W Ste K, Manahawkin, NJ 08050-2821 | 2020-05-20 |
| 1801417423 | Genfit Health | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 784, Ridgewood, NJ 07450-3815 | 2020-05-05 |
| 1033730106 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 698 Mullica Hill Rd Ste 150, Mullica Hill, NJ 08062-4454 | 2020-04-30 |
| 1750902862 | Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC | Orthopaedic Surgery | 556 Egg Harbor Rd Ste A, Sewell, NJ 08080-2326 | 2020-04-29 |
| 1386271625 | South Shore Orthotics and Bracing | Orthopaedic Surgery | 649 Shore Rd Ste 0, Somers Point, NJ 08244-2449 | 2020-03-26 |
| 1528601796 | Casey Cresbaugh | Orthopaedic Surgery | 201 Nj-rt 17, Suite 1202, Rutherford, NJ 07070 | 2019-10-21 |
| 1881245561 | Multi-speciality Orthopedics LLC | Orthopaedic Surgery | 225 Millburn Ave Ste 104a, Millburn, NJ 07041-1712 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | SUCCASUNNA |
| Zip Code | 07876 |
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| 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.