MEDICARE: SUELI PETRY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	37FI00160800	NJ
2	103T00000X	Psychologist	35SI00447300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477638542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUELI PETRY PHD

Provider Business Mailing Address
First Line	:	328 DENISON ST
Second Line	:
City	:	HIGHLAND PARK
State	:	NJ
Zip	:	08904-2732
Country	:	US
Telephone Number	:	732-565-9010
Fax Number	:	732-565-0703

Provider Business Practice Location Address
First Line	:	671 HOES LN W
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-8021
Country	:	US
Telephone Number	:	732-565-9010
Fax Number	:	732-565-0703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	10/24/2012

Similar Medicare Providers

1578206405 — MS. ALEXANDRA NICOLE CHARLETTA LCSW
Practice Location Address:

671 HOES LN W
PISCATAWAY, NJ
08854-8021

Practice Phone: 800-969-5300
Practice Fax:

1982690525 — DR. WUN JUNG KIM M.D.
Practice Location Address:

671 HOES LN W STE 338A
PISCATAWAY, NJ
08854-8021

Practice Phone: 732-235-7647
Practice Fax: 732-235-4220

1942257704 — LAURA STEPHENS-SUTTON APN
Practice Location Address:

671 HOES LN W
PISCATAWAY, NJ
08854-8021

Practice Phone: 732-235-3289
Practice Fax:

1144267337 — RUTGERS HEALTH - BEHAVIORAL HEALTH
Practice Location Address:

671 HOES LN W RM D-338I
PISCATAWAY, NJ
08854-8021

Practice Phone: 732-235-3289
Practice Fax:

1942218607 — DR. SHERIE LYNN NOVOTNY MD
Practice Location Address:

671 HOES LN W , RM D439
PISCATAWAY, NJ
08854-8021

Practice Phone: 732-235-6800
Practice Fax:

1528141231 — DR. ROSEANNE D DOBKIN PHD
Practice Location Address:

671 HOES LN W STE 338A
PISCATAWAY, NJ
08854-8021

Practice Phone: 732-235-7647
Practice Fax: 732-235-4220

Directions to “ SUELI PETRY PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.