OrganizationActive
Petrovani Family Medicine PLLC
NPI 1124533443 · Family Medicine Physician · Fords, NJ
Provider details
- NPI number
- 1124533443
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Petrovani, Owner(845) 425-4888
- License
- 195910 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Parker Pl
Fords, NJ 08863
Phone: (646) 759-5453
Fax: (646) 374-4940
Street-level locationGet directions
Mailing address
10 Parker Pl
Fords, NJ 08863-2400
Additional practice locations (3)
- 1436 Williamsbridge RdBronx, NY 10461Phone: (646) 759-5453Fax: (646) 374-4940
- 1436 Williamsbridge RdBronx, NY 10461Phone: (646) 759-5453Fax: (646) 374-4940
- 51 Carver TerYonkers, NY 10710-3730Phone: (917) 858-3293
Registry dates
- Enumerated
- 2017-12-08
- Last updated
- 2019-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.