Paula D Petrosino, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MD01407 Issued in NJ

Practice address

129 Central Ave
Hasbrouck Heights, NJ 07604-1306

Phone

(201) 314-2415

Fax

(239) 394-5033

NPI assigned

Jan 5, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

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

• Advanced Garden State Cardiology LLC

  • Cardiovascular Disease Physician
  • Jersey City, NJ
  • NPI 1639481583
  NPD (past)
• Debenedictis & Testa, DPM, PA

  • Foot Surgery Podiatrist
  • Union City, NJ
  • NPI 1013076256
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811045164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GULFVIEW CLUB 2204",
            "address_2": "58 N COLLIER BLVD",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453711",
            "telephone_number": "201-314-2415",
            "fax_number": "239-394-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CENTRAL AVE",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041306",
            "telephone_number": "201-314-2415",
            "fax_number": "239-394-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSINO",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD01407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1562401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan G Pellegrino, D.C.
• Peran Health
• Michael Angele Perillo, D.M.D.
• Kavitha Persaud, MD
• John Petkanas, DDS
• Physicians Chiropractic P.C.
• Fabio A. Piazza, M.D.
• Alissa Pirak
• Ryan Pomarico
• David F Porter, D.O.

• Podiatrist in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.