Healthcare Provider Details

I. General information

NPI: 1386552206
Provider Name (Legal Business Name): BRIELLE CATHERINE TOMASSETTI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 PALMER ST STE 1A
ELIZABETH NJ
07202-5900
US

IV. Provider business mailing address

11 CEDAR RIDGE RD APT SUITE
GREEN BROOK NJ
08812-2030
US

V. Phone/Fax

Practice location:
  • Phone: 973-596-1200
  • Fax:
Mailing address:
  • Phone: 908-300-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number25MP01049800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: