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

Jamie Petkovic, APN

Individual provider Registered Nurse · NPI 1205425204

Jamie Petkovic, APN is a Nurse Practitioner in Sewell, New Jersey. Qualified in 2020, 6 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2021
Specialties on file
3
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

354 Hurffville Crosskeys Rd Bldg 2
Sewell, NJ 08080-3550
Phone: (856) 582-0381
Fax: (844) 542-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 355594 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 969351 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01094100 (NJ)

Record details

NPI number1205425204
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sewell