DR. LOUIS J. PETRACCA (NPI# 1073643136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073643136 |
Entity Type | Individual |
Full Name | DR. LOUIS J. PETRACCA |
Credential | M.D. |
Practice Address |
332 Bloomfield Ave Bloomfield NJ 07003-4806 |
Practice Telephone | 9734299225 |
Practice Fax Number | 9735660973 |
Mailing Telephone | 9734299225 |
Mailing Fax Number | 9735660973 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA04021600 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 2002507 | 05 | |
NJ | OXFORD HEALTH PLANS | P635038 | 01 |
NJ | AETNA | 48464 | 01 |
Street Address |
332 BLOOMFIELD AVE |
City | BLOOMFIELD |
State | NJ |
Zip Code | 07003-4806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801811310 | Hemlata Bhatia | Family Medicine | 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 | 2006-07-13 |
1457610156 | Louis J Petracca Md Pa | Internal Medicine | 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 | 2012-05-15 |
1164755666 | Dr Delgra Internal Medicine P.C. | Internal Medicine | 332 Bloomfield Ave, Suite 2, Bloomfield, NJ 07003-4806 | 2009-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
Find all providers in zip 07003 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952414385 | Michael B Teiger Md PC | Internal Medicine | 800 Cottage Grove Rd Bldg 5, Bloomfield, CT 06002 | 2006-08-17 |
1457610156 | Louis J Petracca Md Pa | Internal Medicine | 332 Bloomfield Ave, Bloomfield, NJ 07003-4806 | 2012-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
Find all providers with the same taxonomy |
City | BLOOMFIELD |
Zip Code | 07003 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.