Healthcare Provider Details

I. General information

NPI: 1740035492
Provider Name (Legal Business Name): CHRISTINA PETRAUSKAS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 RTE 37 W
TOMS RIVER NJ
08755-6400
US

IV. Provider business mailing address

67 RTE 37 W
TOMS RIVER NJ
08755-6400
US

V. Phone/Fax

Practice location:
  • Phone: 732-557-2153
  • Fax:
Mailing address:
  • Phone: 732-557-2153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15122500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: