Priscilla Petrosky LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

PRISCILLA PETROSKY LLC

Practice address

210 Great Bay Blvd
Little Egg Harbor TWP, NJ 08087-2006

Phone

(609) 994-4114

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Priscilla P Odgers, LAC, MSTOMNPI 1669775003

Title

Registered Agent

Phone

(609) 994-4114

Specialties & licenses 1

Addresses

Other names 1

• Seaport Healing Arts Doing business as

Locations

Practitioners 1

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

• Priscilla Odgers, LAC, MSTOM

  • Acupuncturist
  • Little Egg Harbor TWP, NJ
  • NPI 1669775003
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1194584136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WINDWARD DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503339",
            "telephone_number": "609-994-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GREAT BAY BLVD",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872006",
            "telephone_number": "609-994-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISCILLA PETROSKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ODGERS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "609-994-4114",
        "authorized_official_credential": "LAC, MSTOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaport Healing Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Peterson, FNP
• Pinelands Regional Board of Education
• Pinelands Regional School District
• Jenny Prakash, PHARM D.
• Primary Care and Preventive Medicine
• Joseph P Ramil, APN
• Anupama J Rao, M.D
• Stacey Lynn Reese, DPT
• Jennifer Richards, LMT
• Rite Aid of New Jersey Inc

• Acupuncturist in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.