Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tina M. Petillo DO PA

Organization Obstetrics & Gynecology Physician · NPI 1811161557

Tina M. Petillo DO PA is an Obstetrics & Gynecology Physician in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 E Northfield Rd Ste 2E
Livingston, NJ 07039-4892
Phone: (973) 533-0001
Fax: (973) 716-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MB04450300 (NJ)

Record details

NPI number1811161557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Petillo — Doctor · (973) 533-0001
NPI enumeratedApril 14, 2008
Last updated in NPPESMarch 30, 2011
Mailing address340 E Northfield Rd, Suite 2e, Livingston, NJ 07039-4892

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