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Jacinda Pietanza, PHYSICIAN ASSISTANT

NPI 1194971564ActiveIndividual· Physician Assistant· Old Bridge, NJ

Physician Assistant (PHYSICIAN ASSISTANT) in Old Bridge, New Jersey, licensed in NY, with an NPI issued in August 2008.

Overview

NPI1194971564
StatusActive
Entity typeIndividual
CredentialPHYSICIAN ASSISTANT
Sole proprietorYes
NPI issuedAug 17, 2008
Last updated in NPPESAug 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X006449-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Old Bridge

All 20 physician assistants in Old Bridge · All physician assistants in New Jersey