NICHOLAS J PETRIELLA (NPI# 1972855302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972855302 |
| Entity Type | Individual |
| Full Name | NICHOLAS J PETRIELLA |
| Credential | PA |
| Practice Address |
198 North Ave E Cranford NJ 07016-2469 |
| Mailing Address |
198 North Ave East Cranford NJ 07016 |
| Practice Telephone | 9089676124 |
| Practice Fax Number | 9089676126 |
| Mailing Telephone | 9089676124 |
| Mailing Fax Number | 9089676126 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00151500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
198 NORTH AVE E |
| City | CRANFORD |
| State | NJ |
| Zip Code | 07016-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750421715 | Veronica Jeanne Bearison | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2007-02-07 |
| 1629596416 | Roxanne Carolyn Blake | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2017-08-31 |
| 1588196398 | Jean R Benoit | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2017-03-30 |
| 1376093880 | Internal Affairs Treatment Group | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2016-10-07 |
| 1134674138 | Devin Amman White | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2016-08-19 |
| 1659726834 | Jeffrey Aviles | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2016-04-26 |
| 1932560968 | Cranford Pediatric Care LLC | Pediatrics | 198 North Ave E, Cranford, NJ 07016-2469 | 2016-03-18 |
| 1942693551 | Carrel Coreus | Counselor | 198 North Ave E, Cranford, NJ 07016-2469 | 2015-03-07 |
| 1861898769 | Siobhan Curry | Social Worker | 198 North Ave E, Cranford, NJ 07016-2469 | 2014-11-05 |
| 1528222882 | Neelam Khadke | Pediatrics | 198 North Ave E, Cranford, NJ 07016-2469 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659515 | Elohim Rehab-care Associated, Inc. | Speech-Language Pathologist | 20 Commerce Drive, Suite 135, Cranford, NJ 07016 | 2020-11-04 |
| 1053926386 | Natalia Ochalski | Physical Therapist | 570 South Avenue E, Bldg G, Suite C, Cranford, NJ 07016 | 2020-09-14 |
| 1023490745 | Community Access Unlimited, Inc. | Community/Behavioral Health | 48 54 Johnson Ave, Cranford, NJ 07016 | 2015-06-19 |
| 1629496963 | Denise Hausen De Mello Salgueiro | Counselor | 62 Wall Street, Cranford, NJ 07016 | 2014-04-03 |
| 1922424852 | Tracy Barry-austin | Social Worker | 198 North Ave, Cranford, NJ 07016 | 2014-03-17 |
| 1003238130 | Cranford Park Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 600 Lincoln Park East, Cranford, NJ 07016 | 2014-01-08 |
| 1578997003 | Care and Comfort Hospice, LLC | Hospice, Inpatient | 20 Commerce Drive, Cranford, NJ 07016 | 2013-09-03 |
| 1396093431 | Eugene Lee | Physical Therapist | 210 North Avenue East, Cranford, NJ 07016 | 2012-08-21 |
| 1699053322 | Sam N Veltri | Pharmacist | 70 Jackson Drive, Partners Pharmacy, Cranford, NJ 07016 | 2011-07-29 |
| 1407157068 | Lauren Nicole Ilg | Speech-Language Pathologist | 918 South Avenue, Westfield, NJ 07016 | 2010-11-12 |
| Find all providers in zip 07016 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316170822 | Jamie Lynn Neville Fernandes | Physician Assistant | 8 W End Pl, Cranford, NJ 07016-1715 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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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.