Kenneth J Pellegrino (NPI# 1407872195, PAC ID# 7113077587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407872195 |
| PAC ID by PECOS | 7113077587 |
| Professional Enrollment ID | I20090604000565 |
| Full Name | Kenneth J Pellegrino |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Address |
60 Old New Milford Rd Brookfield CT 06804-2430 |
| Phone Number | 2037756365 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 4789597691 |
| Number of Group Practice Members | 567 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 60 Old New Milford Rd, Brookfield, CT 06804-2430 | 2037756365 | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Organization Legal Name | WESTERN CONNECTICUT MEDICAL GROUP INC |
| Physicians | 551 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Jean Moore | Nurse Practitioner | Western Connecticut Medical Group Inc | 95 Locust Ave, Danbury, CT 06810-6148 |
| Patrice Thornton | Internal Medicine | Western Connecticut Medical Group Inc | 96 Route 37, New Fairfield, CT 06812 |
| Paola Ninoska Cruz Chery | Internal Medicine | Western Connecticut Medical Group Inc | 497 Westport Ave, Norwalk, CT 06851-4411 |
| Swati Srivastava | Family Medicine | Western Connecticut Medical Group Inc | 79 Sand Pit Rd, Suite 102, Danbury, CT 06810-4010 |
| Jasmina Krstic | Internal Medicine | Western Connecticut Medical Group Inc | 363 Reef Rd, Fairfield, CT 06824-6582 |
| Rachel H Chung | Family Medicine | Western Connecticut Medical Group Inc | 38 E Ave, New Canaan, CT 06840-5516 |
| Marc Joseph Casasanta | Colorectal Surgery (proctology) | Western Connecticut Medical Group Inc | 111 Osborne St, Suite 121, Danbury, CT 06810-6019 |
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Marcos Ramiro Lamas | Endocrinology | Western Connecticut Medical Group Inc | 25 Germantown Rd, Danbury, CT 06810-5036 |
| Tatyana Axyonova | Nurse Practitioner | Western Connecticut Medical Group Inc | 830 Post Rd E, Westport, CT 06880-5222 |
| Street Address |
60 OLD NEW MILFORD RD |
| City | BROOKFIELD |
| State | CT |
| Zip | 06804-2430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie A Schedgick-davis | Internal Medicine | Western Connecticut Medical Group Inc | 60 Old New Milford Rd, Brookfield, CT 06804-2430 |
| Robert J Daher | Orthopedic Surgery | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Antonio J Paz | Interventional Pain Management | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Laurel Halloran | Nurse Practitioner | Western Connecticut Medical Group Inc | 60 Old New Milford Rd, Brookfield, CT 06804-2430 |
| Sharon Elizabeth Shea | Clinical Social Worker | 60 Old New Milford Rd, 3b, Brookfield, CT 06804-2430 | |
| Scott C Bussom | Physician Assistant | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Michael L Stern | Psychologist, Clinical | 60 Old New Milford Rd, Brookfield, CT 06804-2430 | |
| Samuel C Silva | Physician Assistant | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Sanjay Gupta | Orthopedic Surgery | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Pamela K Lehman | Physical Therapy | Orthopaedic Specialists of Connecticut, PC | 60 Old New Milford Rd, 3e, Brookfield, CT 06804-2414 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Esposito | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Benjamin Chan | Emergency Medicine | Urgent Care Medical Associates, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Kimberly L Downs | Occupational Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Matthew D Amara | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | |
| Nancy Reichlin | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Sean Altman | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Cristina Vidad Sheehan | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Karen F Schwarzchild | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Nicole E Theus | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Cynthia A Bahr | Physical Therapy | Access Physical Therapy and Wellness, LLC | 31 Old Route 7, Brookfield, CT 06804-1711 |
| Find all physicians in zip 06804 | |||
| City | BROOKFIELD |
| Zip Code | 06804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROOKFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth J Pellegrino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.