Organization Active NPI

Jason a Pellegrino DMD PC

Doing business as Pellegrino Dentistry

  • General Practice Physician
  • Allentown, PA
National Provider Identifier
1134912108
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JASON A PELLEGRINO DMD PC
Doing business as
Pellegrino Dentistry
Practice address
5920 Hamilton Blvd Ste 101
Allentown, PA 18106-8942
Phone
(610) 530-7901
Fax
(610) 530-7905
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Jenny Garcia
Title
Sr. Credentialing Team Lead
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5920 Hamilton Blvd Ste 101
Allentown, PA 18106-8942

Mailing address

5920 Hamilton Blvd Ste 101
Allentown, PA 18106-8942
Phone (610) 530-7901

Other names 1

  • Pellegrino Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5920 Hamilton Blvd
Ste 101
Wescosville, PA 18106
Phone (610) 530-7901

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1134912108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181068942",
            "telephone_number": "610-530-7901",
            "fax_number": "610-530-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 HAMILTON BLVD STE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181068942",
            "telephone_number": "610-530-7901",
            "fax_number": "610-530-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A PELLEGRINO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR. CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pellegrino Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.