Brett Pettee

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA10042800 Issued in NJ

Practice address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Phone

(908) 277-8625

Fax

(908) 608-2378

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1356768790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHANNELSIDE WALK WAY",
            "address_2": "#1130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336026748",
            "telephone_number": "617-922-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-277-8625",
            "fax_number": "908-608-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTEE",
        "first_name": "BRETT",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10042800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearly Whites Professional Association
• Pearly Whites Spec LLC
• Pediatric Speech, Language, & Learning Center, LLC
• Ryan Pelcher, D.M.D
• Astaire Perez, PT, DPT
• Lisa Picascia, M.D.
• Gary C Pien, MD, PHD
• Renuka Pillai, D.O.
• Richard Pilot, MD, MPH
• Keri Christine Pippo, FNP- BC

• Internal Medicine Physician in Berkeley Heights, NJ
• Providers in Berkeley Heights, 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 Dec 14, 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.