Jennifer Petrarchi, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

464147 Issued in NY

Practice address

3155 Amboy Rd
Staten Island, NY 10306

Phone

(347) 251-8728

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1073004982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 ELLSWORTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123908",
            "telephone_number": "718-605-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "347-251-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRARCHI",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "464147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simona Petkovic, M.D.
• Nataliya Petlyuk
• Leslie A Petosa, DDS
• Eugene Petra, MD
• Joshua Neal Petraglia
• Faye F. Petras, M.S.ED.
• Jessica Petrizzi
• Janine Petrizzo-Dejesus, M.S. ED.
• Emil L Petrov, MD
• Yuliya Petrova, MS, MA

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.