IndividualActive
Kimberly Petrullo
NPI 1992137921 · Specialist · Staten Island, NY
Kimberly Petrullo is a Specialist provider in Staten Island, NY (NPI 1992137921).
Provider details
- NPI number
- 1992137921
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
116 Rustic Pl
Staten Island, NY 10308-2840
Phone: (917) 689-4115
Street-level locationGet directions
Mailing address
116 Rustic Pl
Staten Island, NY 10308-2840
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2013-08-01
Frequently asked questions
- What is Kimberly Petrullo's NPI number?
- Kimberly Petrullo's National Provider Identifier (NPI) is 1992137921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Petrullo's specialty?
- Kimberly Petrullo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kimberly Petrullo located?
- Kimberly Petrullo's practice location on file with NPPES is 116 Rustic Pl, Staten Island, NY 10308-2840.
- What is Kimberly Petrullo's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Petrullo is (917) 689-4115.
- Is Kimberly Petrullo's NPI active?
- Yes — Kimberly Petrullo's NPI (1992137921) is active in the NPPES registry as of the last update on 2013-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.