Dr Jennifer Petrongolo, PSYD, MSW | |
2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102 | |
(732) 988-3441 | |
Not Available |
Full Name | Dr Jennifer Petrongolo |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 2100 Route 33 Ste 9-10, Neptune, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265957989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35SI00626700 (New Jersey) | Primary |
Entity Name | Virtua Medical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
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Dr Jennifer Petrongolo, PSYD, MSW 2100 Route 33 Ste 9-10, Neptune, NJ 07753 Ph: (732) 988-3441 | Dr Jennifer Petrongolo, PSYD, MSW 2100 Route 33 Ste 9-10, Neptune, NJ 07753-6102 Ph: (732) 988-3441 |
Mr. Sagar S Lad, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2100 State Highway 33, Suite 9-10, Neptune, NJ 07753 Phone: 732-988-3441 Fax: 732-988-7123 | |
Dr. Jennifer J Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3535 State Route 66, Bldg. #5, Suite D, Neptune, NJ 07753 Phone: 732-643-4355 Fax: 732-643-4378 | |
Dr. Brian Burgess, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1944 State Route 33, Suite 202, Neptune, NJ 07753 Phone: 732-988-3441 Fax: 732-988-7123 | |
Courtney Dougherty, M.S. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 Route 33., Suites 9-10., Neptune, NJ 07753 Phone: 732-988-3441 | |
Dr. Joseph F Perzel, Jr., PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 333 Old Corlies Ave, Neptune, NJ 07753 Phone: 908-675-0198 Fax: 732-663-1543 | |
Dr. Lauren Gashlin, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 Route 33, Neptune, NJ 07753 Phone: 732-988-3441 |