MRS. BRIDGET A PELLEGRINI RPAC NPI 1619140738

NPI Information

NPI: 1619140738
Provider Name: MRS. BRIDGET A PELLEGRINI, RPAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
SUNY AT STONY BROOK LEVEL T9
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-1910
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MRS. Bridget A Pellegrini, RPAC is a medical physician assistant in Stony Brook, NY with 32 years of experience. MRS. Bridget A Pellegrini, RPAC NPI is 1619140738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

SUNY AT STONY BROOK LEVEL T9
STONY BROOK, NY
ZIP 11794-430
Phone: (631) 444-1910
Fax: (631) 444-3765

The NPI 1619140738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 9/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	004605	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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