Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Justin Michael Petrocelli, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1154558856

Dr. Justin Michael Petrocelli, MD is an Obstetrics/Gynecology in Manhasset, New York. Graduated from New York Medical College in 2009, 17 years ago. Practices with Square Care Medical Group LLP, a 72-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
New York Medical College
Licensed in
NY
In the registry since
2009
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

1615 Northern Blvd Ste 106
Manhasset, NY 11030-3033
Phone: (516) 365-2500
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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 (NY)

Record details

NPI number1154558856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2009
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2009 (17 years in practice)
Group practice Square Care Medical Group Llp — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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