Mario F Pellegrino Peds OT PC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

005347-1 Issued in NY

Legal business name

MARIO F PELLEGRINO PEDS OT PC

Practice address

4 Carlton CT
New City, NY 10956-5830

Phone

(845) 893-7550

Fax

(845) 639-6749

NPI assigned

Sep 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mario F Pellegrino, OTR/LNPI 1427293273

Title

Occupational Therapist

Phone

(845) 893-7550

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Francis Pellegrino, OTR/L

  • Occupational Therapist
  • New City, NY
  • NPI 1427293273
  NPD (past) Authorized official
• Emily Sansone

  • Occupational Therapist
  • New City, NY
  • NPI 1467001933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1043591894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARLTON CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565830",
            "telephone_number": "845-893-7550",
            "fax_number": "845-639-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARLTON CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565830",
            "telephone_number": "845-893-7550",
            "fax_number": "845-639-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO F PELLEGRINO PEDS OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "845-893-7550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "005347-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma Marcovici, SLP
• Robert W Marder, D.M.D.
• Maria Vinieris D.D.S., P.C.
• Marie Helenetorchon
• Gerald P Marinoff, MD
• Marriage and Mental Health Counseling, PC
• Robert Marrone, DDS
• Louis Martorella, MD
• Mary Mallavarapu MD
• Joseph Maselli, MD

• Local Education Agency (LEA) in New City, NY
• Providers in New City, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.