Iwona Pedatella, PA-C
Physician Assistant, Medical in Montvale, NJ. Individual provider (NPI-1).
NPI number1043554512
StatusActive
Last updated in NPPESNov 21, 2012
Details
- NPI
- 1043554512
- Entity type
- Individual (NPI-1)
- Name
- Iwona Pedatella
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2012
- Last updated
- Nov 21, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 25MP00290300 | NJ | Yes |
Practice location
221 W Grand AveMontvale, NJ 07645-1729
Phone 201-307-0075
Mailing address
4000 Riverdale Rd402
Riverdale, NJ 07457-1729
Phone 973-896-1344
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Other Medical Physician Assistant providers in Montvale, NJ
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