Active NPI
Katharine Anne Pelletier
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1356848253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 316372
- Practice address
- 274 Madison Ave Ste 300
New York, NY 10016-0701 - Phone
- (212) 201-1217
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 316372 | NY | Primary |
Addresses
Primary practice location
274 Madison Ave Ste 300
New York, NY 10016-0701
Mailing address
750 E Adams St
Syracuse, NY 13210-2306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
620 Columbus Ave
New York, NY 10024-1458
Phone (212) 580-3866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316372 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen & Morgan OB-GYN Westside PLLC | Current | Accepting new patients | |
| Yelena Rubinshteyn MD PC | Past | Accepting new patients |
Locations
620 Columbus Ave
Ste 2
New York, NY 10024
Phone (212) 600-9411
620 Columbus Ave
New York, NY 10024
Phone (212) 580-3866
26 Firemens Memorial Dr
Ste 115
Pomona, NY 10970
Phone (212) 229-9590
Organizations & group practices 3
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
- New York, NY
- NPI 1184732760
-
- Obstetrics & Gynecology Physician
- Brooklyn, NY
- NPI 1831580091
-
- Family Medicine Physician
- New York, NY
- NPI 1184151938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1356848253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 MADISON AVE STE 300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-201-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "KATHARINE",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "316372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.