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

Dr. Jennifer N Petras, MD

Individual provider Pediatrics Physician · NPI 1417977240

Dr. Jennifer N Petras, MD is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl Box 1230
New York, NY 10029-6500 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 659-8730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 226290 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 226290 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 226290 (NY)

Record details

NPI number1417977240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 25, 2011

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