Active NPI
Peter Dominic Pirraglia, MD
- Pediatrics Physician
- West Babylon, NY
National Provider Identifier
1548251952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 170483
- Practice address
- 256 Cadman Ave
West Babylon, NY 11704-6711 - Phone
- (631) 671-5190
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N4673 | TX | |
| Pediatrics Physician | 208000000X | 170483 | NY | Primary |
Addresses
Primary practice location
256 Cadman Ave
West Babylon, NY 11704-6711
Mailing address
256 Cadman Ave
West Babylon, NY 11704-6711
Phone (631) 671-5190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N4673 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients | |
| PM Pediatrics PC | Pediatrics | Past | Accepting new patients |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| South Ocean Care LLC | Past | Accepting new patients | |
| Almouie Pediatrics | Pediatrics | Past | Accepting new patients |
| Topcare Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
Pediatrics
-
- Clinic/Center
- Freeport, NY
- NPI 1205811049
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1881742575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1548251952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CADMAN AVE",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046711",
"telephone_number": "631-671-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CADMAN AVE",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046711",
"telephone_number": "631-671-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRRAGLIA",
"first_name": "PETER",
"middle_name": "DOMINIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4673",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "170483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.