JOAN ELIZABETH PELLEGRINO (NPI# 1407876584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407876584 |
| Entity Type | Individual |
| Full Name | JOAN ELIZABETH PELLEGRINO |
| Credential | MD |
| Practice Address |
725 Irving Ave Crouse Pob Syracuse NY 13210-1603 |
| Practice Telephone | 3154646395 |
| Practice Fax Number | 3154647238 |
| Mailing Telephone | 3154646395 |
| Mailing Fax Number | 3154647238 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
233547 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02619152 | 05 |
| Street Address |
725 IRVING AVE CROUSE POB |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321826 | Glenda J Hungerford | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Suite 402, Syracuse, NY 13210 | 2005-07-26 |
| 1659937456 | Stephanie Locicero | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2019-05-16 |
| 1023526522 | John Stepan Pototsky | Nurse Anesthetist, Certified Registered | 725 Irving Ave, Syracuse, NY 13210-1603 | 2018-01-18 |
| 1891205043 | Quentin Lawrence Archer | Physician Assistant | 725 Irving Ave, Syracuse, NY 13210-1603 | 2017-10-02 |
| 1316390834 | Julie Albanese | Nurse Practitioner | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2016-07-20 |
| 1679928311 | Jo-anne Furcinito | Nurse Practitioner | 725 Irving Ave, Syracuse, NY 13210-1603 | 2016-05-02 |
| 1811384639 | Jacqlene Nicholle Tillmes | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-04-20 |
| 1760874150 | Stacey L Messe | Dietitian, Registered | 725 Irving Ave, Suite 504, Syracuse, NY 13210-1603 | 2015-02-23 |
| 1376946715 | Cheryl Palmer | Counselor | 725 Irving Ave, Suite 302, Syracuse, NY 13210-1603 | 2014-09-30 |
| 1396163465 | Caroline Burns Stroup | Obstetrics & Gynecology | 725 Irving Ave, Suite 600, Syracuse, NY 13210 | 2014-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205074085 | Rinki G Agarwal | Medical Genetics | 725 Irving Ave Ste 600, Syracuse, NY 13210-1688 | 2009-02-01 |
| 1821022849 | Joe J Hoo | Medical Genetics | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-07-10 |
| 1922099654 | Robert Roger Lebel | Medical Genetics | 725 Irving Ave, Suite 110, Syracuse, NY 13210-1603 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518476902 | Precision Medicine Insights PC | Medical Genetics | 287 Northern Blvd Ste 108b, Great Neck, NY 11021-4717 | 2017-09-28 |
| 1912384603 | Meenakshi Sigireddi | Medical Genetics | 145 E 32nd St Fl 14, New York, NY 10016-6055 | 2015-05-01 |
| 1770978181 | Gidon Akler | Medical Genetics | 287 Northern Blvd Ste 108, Great Neck, NY 11021-4717 | 2015-04-02 |
| 1689924375 | Kasmintan Alexandra Schrader | Medical Genetics | 524 E 72nd St Apt 23a, New York, NY 10021-9802 | 2012-09-11 |
| 1538425830 | Faculty Practice Associates Mount Sinai School of Medicine | Medical Genetics | 1184 5th Ave 2nd Floor, New York, NY 10029-6503 | 2012-04-11 |
| 1942505375 | Anthony C. Casamassima | Medical Genetics | 30 S Ocean Ave, C/o Mintz & Schaffer, Freeport, NY 11520-3550 | 2011-01-15 |
| 1386803476 | Jessica Licy Cohen-pfeffer | Medical Genetics | Box 1497, Mouns Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029 | 2008-06-04 |
| 1053517557 | Long Island Specialist Pediatrics PC | Medical Genetics | 13304 41st Ave # 1a, Flushing, NY 11355-3629 | 2007-06-22 |
| 1689734741 | Martin Bialer | Medical Genetics | Nsuh Medical Genetics, 1554 Northern Boulevard, Manhasset, NY 11030 | 2006-12-11 |
| 1659446532 | Warren Elliott Cohen | Medical Genetics | 302 Carvel Ave, Cedarhurst, NY 11516-1422 | 2006-11-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.