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

Individual provider Medical Physician Assistant · NPI 1972855302

Nicholas J Petriella, PA is a Medical Physician Assistant in Cranford, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

198 N Ave E
Cranford, NJ 07016-2469
Phone: (908) 967-6124
Fax: (908) 967-6126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00151500 (NJ)

Record details

NPI number1972855302
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 9, 2012
Last updated in NPPESOctober 9, 2012

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