Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina M. Petillo DO PA

Organization Obstetrics & Gynecology Physician · NPI 1811161557

Tina M. Petillo DO PA provides Obstetrics & Gynecology Physician services in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

340 E Northfield Rd Ste 2E
Livingston, NJ 07039-4892 Not confirmed with CMS for 15 years — call before visiting
Phone: (973) 533-0001
Fax: (973) 716-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 25MB04450300 (NJ)

Record details

NPI number1811161557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Petillo — Doctor · (973) 533-0001
NPI enumeratedApril 14, 2008
Last updated in NPPESMarch 30, 2011
Mailing address340 E Northfield Rd, Suite 2e, Livingston, NJ 07039-4892

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