Active NPI
Frances Barbara Pelliccia, MD
- Pediatric Adolescent Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1093742793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MA50470
- Practice address
- 123 How LN
New Brunswick, NJ 08901-3653 - Phone
- (732) 448-1000
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA50470 | NJ | Primary |
Addresses
Primary practice location
123 How LN
New Brunswick, NJ 08901-3653
Mailing address
123 How LN
New Brunswick, NJ 08901-3653
Phone (732) 448-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901206 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA50470 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Child and Adolescent Health Services | Past | Accepting new patients | |
| Saint Peter'S University Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
- frances.pelliccia.1@8568.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Jersey City, NJ
- NPI 1003812728
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1093742793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 HOW LN",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089013653",
"telephone_number": "732-448-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HOW LN",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089013653",
"telephone_number": "732-448-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLICCIA",
"first_name": "FRANCES",
"middle_name": "BARBARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NJ",
"license": "MA50470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1901206",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.