TINA M PETILLO DO
NPI 1962437244
Obstetrics & Gynecology in Livingston, NJ

Q: What is Tina Petillo's NPI number?

The NPI number for Tina Petillo is 1962437244. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Tina Petillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Petillo was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 12, 2006

340 EAST NORTHFIELD ROAD, SUITE 2E, LIVINGSTON, NJ 07039(973) 533-0001(973) 716-0306 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tina M Petillo Do NPPES

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

TINA M PETILLO DO (NPI 1962437244) is an individual obstetrics & gynecology provider in Livingston, New Jersey, licensed in New Jersey (44503) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962437244

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTINA M PETILLOCredential: DO

Location Address340 EAST NORTHFIELD ROAD, SUITE 2ELivingston, NJ 07039-4892

Mailing Address340 E Northfield Rd Ste 2eLivingston, NJ 07039-4892 · (973) 533-0001

Phone(973) 533-0001

Fax(973) 716-0306

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateMarch 30, 2011

✔ NPI 1962437244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 44503

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

340 EAST NORTHFIELD ROAD, Livingston, NJ 07039

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Other Identifiers 3

Medicare ID-Type Unspecified699300NJ

Medicare UPINF07536

Medicaid7413505NJ

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 Tina Petillo's NPI number?

The NPI number for Tina Petillo is 1962437244. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Tina Petillo located?

Tina Petillo practices at 340 East Northfield Road Suite 2E, Livingston, NJ 07039. The listed phone number is (973) 533-0001.

What is Tina Petillo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Tina Petillo was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.