Petrovani Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

195910 Issued in NY

Legal business name

PETROVANI FAMILY MEDICINE PLLC

Practice address

10 Parker PL
Fords, NJ 08863

Phone

(646) 759-5453

Fax

(646) 374-4940

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Mark Petrovani, MDNPI 1871758565

Title

Owner

Phone

(845) 425-4888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Petrovani, M.D.

  • Family Medicine Physician
  • Fords, NJ
  • NPI 1871758565
  NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1124533443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARKER PL",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "088632400",
            "fax_number": "646-374-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARKER PL",
            "city": "FORDS",
            "state": "NJ",
            "postal_code": "08863",
            "telephone_number": "646-759-5453",
            "fax_number": "646-374-4940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Carver Ter",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107103730",
            "country_code": "US",
            "telephone_number": "917-858-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 Williamsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "646-759-5453",
            "fax_number": "646-374-4940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 Williamsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "646-759-5453",
            "fax_number": "646-374-4940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETROVANI FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "PETROVANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-425-4888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "195910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sarah Parisio, FNP
• Dhara Patel
• Megha D Patel
• Roshni M Patel
• Mark Pawloski
• Mark Petrovani, M.D.
• Joseph Julius Pugliese, RPH
• Steven A Puma, D.D.S.
• Nicole Michele Pychewicz, CCC-SLP
• Priscilla Ramos

• Family Medicine Physician in Fords, NJ
• Providers in Fords, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.