Tina M. Petillo DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB04450300 Issued in NJ

Legal business name

TINA M. PETILLO DO PA

Practice address

340 E Northfield Rd
Suite 2E
Livingston, NJ 07039-4892

Phone

(973) 533-0001

Fax

(973) 716-0306

NPI assigned

Apr 14, 2008

Last updated

Mar 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina M Petillo, D.O.NPI 1962437244

Title

Doctor

Phone

(973) 533-0001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina M Petillo, DO

  • Obstetrics & Gynecology Physician
  • Livingston, NJ
  • NPI 1962437244
  Authorized official Same address or phone

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1811161557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD",
            "address_2": "SUITE 2E",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-533-0001",
            "fax_number": "973-716-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD",
            "address_2": "SUITE 2E",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-533-0001",
            "fax_number": "973-716-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA M. PETILLO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PETILLO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-533-0001",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB04450300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Leigh Thomson, P.A.
• Tian Xia MD PA
• Kim Nguyen Tibaldi, M.D.
• Huey Chung Tien, MD
• Alan C. Tillis, M.D.
• Matthew Joseph Tinnirella
• Tiny Voices Big Words, LLC
• TMJ & Sleep Therapy Centre of Metropolitan New Jersey
• Christie Tolerico, PT
• Lisa Tomasini, PH.D.

• Obstetrics & Gynecology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.