MARIO E PELLETIER MD NPI 1144497165

NPI Information

  • NPI: 1144497165
  • Provider Name: MARIO E PELLETIER MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 6003 MONROE PL
    SUITE 1A
    WEST NEW YORK, NJ
    ZIP 07093
  • Phone: (201) 869-6868

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NPI Details

MARIO E PELLETIER MD is a pulmonary disease internal medicine in West New York, NJ. The provider is 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. MARIO E PELLETIER MD NPI is 1144497165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6003 MONROE PL
SUITE 1A
WEST NEW YORK, NJ
ZIP 07093-440
Phone: (201) 869-6868

The provider's authorized official is Mario E Pelletier .
The authorized official title is Owner and has the following contact phone number (201) 869-6868.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease25MA04256000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D06633MEDICARE UPINNEW JERSEY
2456933MEDICARE PINNEW JERSEY
32324105MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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