Meghan Pembroke

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

29 Seward LN
Stony Brook, NY 11790-3108

Phone

(631) 413-3614

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1134822216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SEWARD LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903108",
            "telephone_number": "631-413-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SEWARD LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903108",
            "telephone_number": "631-413-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBROKE",
        "first_name": "MEGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dona Angela Pellegrino, PA
• Kelly Pellegrino
• Matthew Cesar Pelletier, DO
• Michael Pelliccia
• Marc Peluso, CRNA
• Brandon Pena, MD
• Josiah Moises Penalver, MD
• Jonathan Charles Pendleton, MD
• Jeffrey Eric Penny II, MD
• Lucinalda Perez Sanchez, MD

• Specialist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.