BOBBI ALFRED PELLEGRINO (NPI# 1750512018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750512018 |
| Entity Type | Individual |
| Full Name | BOBBI ALFRED PELLEGRINO |
| Credential | PA-C |
| Practice Address |
1099 Targee Street Staten Island NY 10304-4310 |
| Mailing Address |
1099 Targee Street Administration Staten Island NY 10304-4310 |
| Practice Telephone | 7184483210 |
| Practice Fax Number | 7188153379 |
| Mailing Telephone | 7184483210 |
| Mailing Fax Number | 7187201271 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2010-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 013458 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
013458 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03226386 | 05 |
| Street Address |
1099 TARGEE STREET |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221058 | John S Shiau | Neurological Surgery | 1099 Targee Street, Staten Island, NY 10304-4310 | 2005-11-09 |
| 1467560870 | Marissa M Maurino | Physician Assistant | 1099 Targee Street, Healthcare Associates In Medicine PC, Staten Island, NY 10304-4310 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716238 | Alena Rakhman | Physician Assistant | 4118 Amboy Rd, Staten Island, NY 10308-2318 | 2020-10-01 |
| 1518574078 | Dana Marie Tedesco | Physician Assistant | 403 Kissel Ave, Staten Island, NY 10301-2600 | 2020-09-29 |
| 1275155277 | Nicole Deluzio | Physician Assistant | 332 Brighton St, Staten Island, NY 10307-1708 | 2020-05-12 |
| 1497377667 | Alexandra Ferro | Physician Assistant | 150 Colon Ave, Staten Island, NY 10308-1405 | 2020-05-11 |
| 1083236434 | Marisa Dimare | Physician Assistant | 700 Jewett Ave, Staten Island, NY 10314-2808 | 2020-05-08 |
| 1861013625 | Danielle Alexandra Crespo | Physician Assistant | 8 Reading Ave, Staten Island, NY 10312-2021 | 2020-05-04 |
| 1194359257 | Brandon J Rego | Physician Assistant | 224 Slater Blvd, Staten Island, NY 10305-3241 | 2020-02-27 |
| 1447897210 | Anthony Joseph Lazzaro | Physician Assistant | 14 Luna Cir, Staten Island, NY 10312-6047 | 2019-11-29 |
| 1770127664 | Jocelyn Philip | Physician Assistant | 158 Livingston Ave, Staten Island, NY 10314-5131 | 2019-11-04 |
| 1295379303 | Dhiwya Alex | Physician Assistant | 61 Delafield Pl, Staten Island, NY 10310-1675 | 2019-10-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on BOBBI ALFRED PELLEGRINO.
| 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.