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

Kristen Polentarutti, PA

Individual provider Medical Physician Assistant · NPI 1679135925

Kristen Polentarutti, PA is a Physician Assistant in Mine Hill, New Jersey. Qualified in 2019, 7 years ago. Practices with Gastroenterology Associates of New Jersey LLC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

195 US Highway 46 Ste 100
Mine Hill, NJ 07803-3163
Phone: (973) 366-7330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 90 Us Highway 22, Springfield, NJ 07081-3110 — (973) 467-2273

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00530100 (NJ)

Record details

NPI number1679135925
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2019
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Gastroenterology Associates Of New Jersey Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount