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

Individual provider Physician Assistant · NPI 1992577373

Noah Pettenati, PA-C is a Physician Assistant in Hackensack, New Jersey. Qualified in 2023, 3 years ago. Practices with New Jersey Brain and Spine PC, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20 Prospect Ave Ste 907
Hackensack, NJ 07601-1989
Phone: (201) 342-2550
Fax: (201) 342-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992577373
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address20 Prospect Ave Ste 907, Hackensack, NJ 07601-1989

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice New Jersey Brain And Spine Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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