Edwin Norman Pietrowski, AAS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB0029500 Issued in NJ

Practice address

3718 Church Rd
Mount Laurel, NJ 08054-1104

Phone

(856) 235-7100

NPI assigned

Sep 9, 2014

Sex

Male

Sole proprietor

No

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

Associate of Applied Science

State licenses

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1750782843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541104",
            "telephone_number": "856-235-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541104",
            "telephone_number": "856-235-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROWSKI",
        "first_name": "EDWIN",
        "middle_name": "NORMAN",
        "credential": "AAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB0029500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Housecall Associates of South Jersey
• Phoenix Medical Group
• Physiatry Management Services
• Samantha Piazza, LPC
• Nianni Janel Pierce, CERTIFIED PHLEBOTOMI
• Matthew Pigman, PSYD
• Richard D. Pileggi, PA-C
• Corinne Pines, LAC
• Narsimha Pinninti, M.D.
• Joseph B Pino, DMD

• Physical Therapy Assistant in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.