Provider Demographics
NPI:1548813470
Name:PUSATERI, JENNIFER HELEN (PA-C)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:HELEN
Last Name:PUSATERI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:465 SOUTH ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6442
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:131 MADISON AVE FL 2
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7360
Practice Address - Country:US
Practice Address - Phone:973-540-9700
Practice Address - Fax:973-540-9717
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2024-04-30
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00533300363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty