Ernest John Pelaccio Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

126799 Issued in NY

Practice address

80 Wooster St Apt 5R
New York, NY 10012-4493

Phone

(646) 410-6541

NPI assigned

May 23, 2007

Last updated

Apr 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jack Pelaccio Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1528278967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WOOSTER ST APT 5R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124493",
            "telephone_number": "646-410-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WOOSTER ST APT 5R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124493",
            "telephone_number": "646-410-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELACCIO",
        "first_name": "ERNEST",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "126799",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "126799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "PELACCIO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evelin Peker, RN, IBCLC
• Simona Peker, MS/MLS, MSA, PHARMD
• Karen A Pekle, ANP-C
• Jocelyn Pekler, M.S. CCC-SLP, TSSLD
• Judith Carol Pekowsky, MSW
• Nadia V Pelaez Garcia, MD
• Brandon Hugo Pelaez, PA
• Francine Pelaez, LMSW
• Jose Abel Pelaez, M.D.
• Venus Pelaez

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.