Alexandra Petrou, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MP00658900 Issued in NJ

Practice address

34 Main St
Holmdel, NJ 07733-2106

Phone

(732) 320-9196

Fax

(877) 421-3585

NPI assigned

Nov 3, 2021

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Navesink Medical Associates LLC

  • Internal Medicine Physician
  • Middletown, NJ
  • NPI 1003051038
  Medicare reassignment

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1114682234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332106",
            "telephone_number": "732-320-9196",
            "fax_number": "877-421-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MAIN ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332106",
            "telephone_number": "732-320-9196",
            "fax_number": "877-421-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROU",
        "first_name": "ALEXANDRA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MP00658900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert P Penney, M.D.,F.A.C.O.G.
• Jessie Perito
• Beth Perosi
• Jessica Michele Perrella, MSW M.ED LCSW
• Jenna Peters, MS, RD
• Philip N Rabin DDS PA
• Physical Therapy Doctor NJ, PC
• Physically Speaking Therapy Center
• Physicians of Monmouth LLC
• Rachel Emma Pickworth, DMD

• Internal Medicine Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.