Healthcare Provider Details

I. General information

NPI: 1568595262
Provider Name (Legal Business Name): PETER JOHN TRIOLO PSYCHOTHERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HAMPTON HOLLOW DR
PERRINEVILLE NJ
08535-1002
US

IV. Provider business mailing address

4 HAMPTON HOLLOW DR
PERRINEVILLE NJ
08535-1002
US

V. Phone/Fax

Practice location:
  • Phone: 609-448-8141
  • Fax:
Mailing address:
  • Phone: 609-448-4134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37F100129100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: