What is Jerome Petrisko's NPI number?

Jerome Petrisko's National Provider Identifier (NPI) is 1174708523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerome Petrisko's specialty?

Jerome Petrisko is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Jerome Petrisko located?

Jerome Petrisko's practice location on file with NPPES is 900 Ne 26th Avenue, Fort Lauderdale, FL 33304.

What is Jerome Petrisko's phone number?

The practice phone number listed in the NPPES registry for Jerome Petrisko is (954) 566-4208.

Is Jerome Petrisko's NPI active?

Yes — Jerome Petrisko's NPI (1174708523) is active in the NPPES registry as of the last update on 2008-01-04.

IndividualActive

Jerome Petrisko, DMD

NPI 1174708523 · Dentist · Fort Lauderdale, FL

Jerome Petrisko, DMD is a Dentist provider in Fort Lauderdale, FL (NPI 1174708523).

Provider details

NPI number: 1174708523
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: DN6949 (FL)

Specialties & taxonomies

DentistPrimary122300000XLicense DN6949 (FL)
Dental Providers

Profile Score

Detailed profile(88/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

900 Ne 26th Avenue

2nd Floor

Fort Lauderdale, FL 33304

Phone: (954) 566-4208

Fax: (954) 566-5346

Street-level locationGet directions

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Mailing address