Kristen Polentarutti, PA is a medicare enrolled "Physician Assistant - Medical" in Mine Hill, New Jersey. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Gastroenterology Associates Of New Jersey Llc and her current practice location is
195 Us Highway 46 Ste 100, Mine Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 366-7330.
Kristen Polentarutti is licensed to practice in New Jersey (license number 25MP00530100) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679135925.
Provider's Profile
| Full Name | Kristen Polentarutti |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 195 Us Highway 46 Ste 100, Mine Hill, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristen Polentarutti graduated from nursing school in 2019
NPI Data:
- NPI Number: 1679135925
- Provider Enumeration Date: 07/07/2019
- Last Update Date: 03/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294142261
- Enrollment ID: I20210319000192
Medical Identifiers
Medical identifiers for Kristen Polentarutti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679135925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 25MP00530100 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gastroenterology Associates Of New Jersey Llc | 4284706656 | 73 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Polentarutti is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kristen Polentarutti, PA
1130 Mcbride Ave Fl 3,
Woodland Park, NJ 07424-3806
Ph: (973) 785-2277 | Kristen Polentarutti, PA
195 Us Highway 46 Ste 100,
Mine Hill, NJ 07803-3163
Ph: (973) 366-7330 |
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