Pellegrino Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PELLEGRINO PLASTIC SURGERY LLC

Practice address

18947 John J Williams Hwy Unit 215
Rehoboth Beach, DE 19971-4476

Phone

(302) 643-2900

Fax

(302) 567-6799

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Christopher J Pellegrino, MDNPI 1902843105

Title

Owner

Phone

(302) 643-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 4

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

• Christopher J Pellegrino, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
  • NPI 1902843105

  DE

  Medicare reassignment NPD Authorized official
• Denise Tetzner, FNP.C

  • Nurse Practitioner
  • Lewes, DE
  • NPI 1265813794
  NPD
• Thomas Francis Kelly, M.D.

  • Internal Medicine Physician
  • Milton, DE
  • NPI 1760665889
  NPD (past)
• Elizabeth Fisher

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1447763438
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1649044488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 215",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 215",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714476",
            "telephone_number": "302-643-2900",
            "fax_number": "302-567-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLEGRINO PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-643-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D. Orlando, PT, DPT
• Rhonda Kay Owens, APRN
• Robin Palumbo Thompson
• Theresa Ann Parkhurst, PMHNP-BC
• Michelle F Parsons, MD
• Peninsula Rehabilitation and Sports Medicine, Inc.
• William Lenox Pfaff III, M.D.
• Austin Piccarreta
• Pamela Kay Pierce, PTA
• Judith Ellen Pierson, ED.D.

• Plastic Surgery Physician in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Plastic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.