| Dr Jennifer A Petrillo, MD | |
|
30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809 | |
| (908) 735-7111 | |
| (908) 730-6788 |
| Full Name | Dr Jennifer A Petrillo |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 30 Pittstown Road, Clinton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568566727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07065200 (New Jersey) | Primary |
| Entity Name | Geps Physician Group Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871512038 PECOS PAC ID: 4981590346 Enrollment ID: O20040409000423 |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811931504 PECOS PAC ID: 6406742592 Enrollment ID: O20050104000058 |
| Entity Name | New Jersey Post Acute Medical Services 1 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578092391 PECOS PAC ID: 7214200351 Enrollment ID: O20170912000743 |
| Entity Name | Gps Physician Group Of New Jersey, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548776008 PECOS PAC ID: 4688933674 Enrollment ID: O20180119002091 |
| Entity Name | Nj Pacs 2 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740766195 PECOS PAC ID: 4486903705 Enrollment ID: O20180821000108 |
| Entity Name | Alignmed Medical Group Nj, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245061605 PECOS PAC ID: 4981138609 Enrollment ID: O20241117000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer A Petrillo, MD 40 Pittstown Rd, Clinton, NJ 08809-1209 Ph: (908) 343-1633 | Dr Jennifer A Petrillo, MD 30 Pittstown Road, Edna Mahan Correctional Facility For Women, Clinton, NJ 08809 Ph: (908) 735-7111 |
Chik S Chin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Hunterdon Developmental Center, 40 Pittstown Rd, Clinton, NJ 08809 Phone: 908-730-5703 Fax: 908-730-1340 | |
Dr. Charles I. Messina, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809 Phone: 908-730-6363 Fax: 908-730-8185 | |
Deirdre Andrews, M..D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1738 Route 31 North, Suite 203, Clinton, NJ 08809 Phone: 908-735-4645 | |
Anne M. Porter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Hunterdon Developmental Center, 40 Pittstown Road, Clinton, NJ 08809 Phone: 908-735-4031 Fax: 908-730-1340 | |
James J Vandenburg Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1738 State Route 31, Suite 203, Clinton, NJ 08809 Phone: 908-735-4645 | |
Dr. Nina L Bray, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 59 Old Route 22, The Doctor Is In, Pa, Clinton, NJ 08809 Phone: 908-730-6363 Fax: 908-730-8185 |