Active NPI
Jeanne Pettoni
- Certified Respiratory Therapist
- Cedar Grove, NJ
National Provider Identifier
1063696524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 43ZA00029000
- Practice address
- 63 Ridge Rd
Cedar Grove, NJ 07009-2005 - Phone
- (973) 571-1556
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 43ZA00029000 | NJ | Primary |
Addresses
Primary practice location
63 Ridge Rd
Cedar Grove, NJ 07009-2005
Mailing address
63 Ridge Rd
Cedar Grove, NJ 07009-2005
Phone (973) 571-1556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43ZA00029000 | NJ | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1063696524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 RIDGE RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070092005",
"telephone_number": "973-571-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 RIDGE RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070092005",
"telephone_number": "973-571-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTONI",
"first_name": "JEANNE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "NJ",
"license": "43ZA00029000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.