MEDICARE: THEODORE A PETTI MD

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	2084P0804X	Child & Adolescent Psychiatry Physician	25MA07587000	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	:	1033170121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE A PETTI MD

Provider Business Mailing Address
First Line	:	66 WEST GILBERT ST
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701
Country	:	US
Telephone Number	:	732-212-0051
Fax Number	:	732-212-0713

Provider Business Practice Location Address
First Line	:	671 HOES LN
Second Line	:	UNIVERSITY BEHAVIORAL HEALTHCARE ROOM C-202
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-5627
Country	:	US
Telephone Number	:	732-235-2129
Fax Number	:	732-235-2101

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	04/03/2008

Similar Medicare Providers

1487626685 — PAUL GREGORY FITZPATRICK LCSW
Practice Location Address:

671 HOES LN
PISCATAWAY, NJ
08854-5627

Practice Phone: 973-971-5595
Practice Fax:

1619938610 — MS. KATHLEEN M CHERWINSKI RN, APN.C., MPH, CIC
Practice Location Address:

671 HOES LN , UNIVERSITY BEHAVIORAL HEALTHCARE, ROOM C-202
PISCATAWAY, NJ
08854-5627

Practice Phone: 732-235-2129
Practice Fax: 732-235-2101

1356356141 — CINDY YEUNG DO
Practice Location Address:

671 HOES LN
PISCATAWAY, NJ
08854-5627

Practice Phone: 800-969-5300
Practice Fax:

1942217054 — RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE
Practice Location Address:

671 HOES LN
PISCATAWAY, NJ
08854-5627

Practice Phone: 732-235-3493
Practice Fax: 732-235-2101

1366542565 — JILL M WILLIAMS MD
Practice Location Address:

671 HOES LN , D339
PISCATAWAY, NJ
08854-5627

Practice Phone: 732-235-4341
Practice Fax: 732-235-4277

1518054931 — MONA V BIJLANI MD
Practice Location Address:

667 HOES LN
PISCATAWAY, NJ
08854-5627

Practice Phone: 800-969-5300
Practice Fax:

Directions to “ THEODORE A PETTI MD” 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.