IndividualActive
Nicholas Petriella, PA
NPI 1972855302 · Medical Physician Assistant · Cranford, NJ
Provider details
- NPI number
- 1972855302
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MP00151500 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
198 North Ave E
Cranford, NJ 07016-2469
Phone: (908) 967-6124
Fax: (908) 967-6126
Street-level locationGet directions
Mailing address
198 North Ave East
Cranford, NJ 07016
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.