CONSTANCE PETINE
NPI 1689121212
Physician Assistant - Medical in Neptune, NJ

Active since September 01, 2016
1828 W LAKE AVE, NEPTUNE, NJ 07753(732) 869-5754 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Constance Petine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANCE PETINE (NPI 1689121212) is an individual medical provider in Neptune, New Jersey, licensed in New Jersey (25MP00097600) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1689121212
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCONSTANCE PETINE
Location Address1828 W LAKE AVENeptune, NJ 07753-4663
Mailing Address1828 West Lake AvenueNeptune, NJ 07753-4663 · (732) 869-5754
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
NPI 1689121212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00097600
1828 W LAKE AVE, Neptune, NJ 07753

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1828 W LAKE AVE
NEPTUNE, NJ 07753
Dentist (General Practice)
1828 W LAKE AVE
NEPTUNE, NJ 07753
Dentist
1828 W LAKE AVE
NEPTUNE, NJ 07753
Case Manager/Care Coordinator
1828 W LAKE AVE
NEPTUNE, NJ 07753
Student in an Organized Health Care Education/Training Program
1828 W LAKE AVE
NEPTUNE, NJ 07753
Clinic/Center (Dental)
1828 W LAKE AVE
NEPTUNE, NJ 07753
Dentist (General Practice)
1828 W LAKE AVE, SUITE 201
NEPTUNE, NJ 07753
Dentist (General Practice)
1828 W LAKE AVE
NEPTUNE, NJ 07753

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 Constance Petine's NPI number?

The NPI number for Constance Petine is 1689121212. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Constance Petine located?

Constance Petine practices at 1828 W Lake Ave, Neptune, NJ 07753. The listed phone number is (732) 869-5754.

What is Constance Petine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Constance Petine was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.