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

Mr. Antonio Pedulla Jr., CRNP

Individual provider Family Nurse Practitioner · NPI 1518622455

Mr. Antonio Pedulla Jr., CRNP is a Nurse Practitioner in North East, Maryland. Qualified in 2021, 5 years ago. Practices as a sole proprietor, works from 7 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

14 Rogers Rd Ste 211
North East, MD 21901-3612
Phone: (410) 280-7683
Fax: (610) 702-8056
Show map & directions

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

Additional practice locations (6)

  • 2550 W Union Hills Dr, Phoenix, AZ 85027-5163 — (888) 947-3888
  • 1640 N Grant St, Denver, CO 80203-1626 — (888) 947-3888
  • 254 Chapman Rd Ste 101a, Newark, DE 19702-5489 — (610) 998-3902
  • 950 W Bannock St, Boise, ID 83702-5999 — (888) 947-3888
  • 1242 W Chester Pike Ste 3, West Chester, PA 19382-5657 — (610) 998-3902
  • 241 S Lander St, Seattle, WA 98134-1901 — (888) 947-3888

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP027026 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP024827 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN674446 (PA)

Record details

NPI number1518622455
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedNovember 4, 2021
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North East