Jill Garripoli Pedalino, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB07995400 Issued in NJ

Practice address

675 Franklin Ave
Nutley, NJ 07110-1209

Phone

(844) 437-5455

Fax

(844) 437-5455

NPI assigned

Aug 7, 2006

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Healthy Kids Pediatrics, LLC

  • Medical Specialty Clinic/Center
  • Nutley, NJ
  • NPI 1811361207
  NPD Authorized official
• BCD Health Partners

  • Pediatrics Physician
  • Woodland Park, NJ
  • NPI 1225317704
  NPD (past)
• Rutherford Pediatrics&Pediatric Pulmonology P.C.

  • Pediatric Adolescent Medicine Physician
  • Rutherford, NJ
  • NPI 1508938291
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1568471472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "844-437-5455",
            "fax_number": "862-238-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "844-437-5455",
            "fax_number": "844-437-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070701563",
            "country_code": "US",
            "telephone_number": "201-842-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDALINO",
        "first_name": "JILL",
        "middle_name": "GARRIPOLI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07995400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narendrakumar Patel
• Sama Patel, PA
• Samira Patel, M.O.T
• Paul Dell'Aquila, M.D., P.C.
• Camille V. Pazienza, LCSW, MA
• Linda Christina Peeters
• Cleotilde C. Pelgone, PHYSICAL THERAPIST
• Nicholas Gerard Pellicoro, DPM
• Jessica Peralta, M.S. CCC-SLP
• Kenia Peralta, CCC-SLP

• Pediatrics Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.