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Contact Information

KRISTEN POLENTARUTTI, PA
195 US HIGHWAY 46 STE 100
MINE HILL TOWNSHIP, NJ07803-3163
 Phone: 973-366-7330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTEN POLENTARUTTI · (Female)

NPI Number 1679135925
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/07/2019
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00530100
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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