John W Petrozzi, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA023505 Issued in NJ

Practice address

150 Gill Rd
Haddonfield, NJ 08033-3404

Phone

(856) 216-0393

NPI assigned

Jun 29, 2006

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Coyle S Connolly DO PA

  • Dermatology Physician
  • Linwood, NJ
  • NPI 1053367516
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1265460174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GILL RD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333404",
            "telephone_number": "856-216-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILL RD",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333404",
            "telephone_number": "856-216-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROZZI",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA023505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanibelle Pena, PHARM.D
• Rosemunde Marcia Christine Percival, LLC OWNER
• Kerry Perez
• Claudia Jennifer Petaccio, MD
• Linda Michelle Petrovich, MD
• Rachel Petrucci, PT, DPT
• Nicole Pittella
• Laureen M Pladdys, DC
• Plant and Grow Holistic Counseling LLC (Plant and Grow Counseling)
• Tiffany Pooler

• Dermatology Physician in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.