IWONA PEDATELLA PA-C
NPI 1043554512
Physician Assistant - Medical in Montvale, NJ
About Iwona Pedatella Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IWONA PEDATELLA PA-C (NPI 1043554512) is an individual medical provider in Montvale, New Jersey, licensed in New Jersey (25MP00290300) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iwona Pedatella Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTVALE, NJ 07645
MONTVALE, NJ 07645
MONTVALE, NJ 07645
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Iwona Pedatella's NPI number?
The NPI number for Iwona Pedatella is 1043554512. It was assigned to this individual provider in the NPPES registry on November 21, 2012.
Where is Iwona Pedatella located?
Iwona Pedatella practices at 221 W Grand Ave, Montvale, NJ 07645. The listed phone number is (201) 307-0075.
What is Iwona Pedatella's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Iwona Pedatella enrolled in Medicare?
Yes. Iwona Pedatella is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Iwona Pedatella was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Iwona Pedatella, PA-C · NPI 1043554512
Medical physician in Montvale, New Jersey. Individual provider, active in the CMS NPPES registry since November 21, 2012.
## Identity
- **NPI:** 1043554512 (Entity type: Individual)
- **Enumerated:** November 21, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 25MP00290300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 W GRAND AVE, Montvale, NJ 07645-1729
- **Phone:** (201) 307-0075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 21, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1043554512) · Data from the CMS NPPES public registry.