Individual provider Active NPI

Lindsey Peragallo-Flynn, DO

  • Adolescent Medicine (Internal Medicine) Physician
  • Brick, NJ
National Provider Identifier
1326543091
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
25MB11065300 Issued in NJ
Practice address
2125 Route 88 E
Brick, NJ 08724-3273
Phone
(732) 892-4548
Fax
(732) 892-0961
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 25MB11065300 NJ Primary

Addresses

Primary practice location

2125 Route 88 E
Brick, NJ 08724-3273

Mailing address

2125 Route 88 E
Brick, NJ 08724-3273
Phone (732) 892-4548

Other names 1

  • Lindsey Peragallo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Epic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001096 NJ Practitioner - Pediatric Medicine 1254686116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11065300NJMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Group PC CurrentSince Nov 1, 2021 Accepting new patients
Ocean County Family Care, P.a. Current Accepting new patients

Locations

2125 Route 88 E
Brick, NJ 08724
Phone (732) 892-4548

701 S Main St
Forked River, NJ 08731
Phone (609) 250-4110

27 S Cooks Bridge Rd
Ste 1-4
Jackson, NJ 08527
Phone (732) 364-3881

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1326543091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548",
            "fax_number": "732-892-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROUTE 88 E",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243273",
            "telephone_number": "732-892-4548",
            "fax_number": "732-892-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAGALLO-FLYNN",
        "first_name": "LINDSEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MB11065300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "Epic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Epic",
            "address_1": "2125 Route 88 E",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087243273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "PERAGALLO",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.