John Michael Pellegrino, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

25MA05283200 Issued in NJ

Practice address

459 Jack Martin Blvd
Brick, NJ 08724-7724

Phone

(732) 458-4600

Fax

(732) 458-3885

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Surgical Oncology

Education

Creighton University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
• Ocean Medical Center Hospital, Brick, NJ, CCN 310052
• Community Medical Center Hospital, Toms River, NJ, CCN 310041
• Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpellegrino409105@direct.ahsys.org

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.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385
  Medicare reassignment Care Compare group NPD
• Centrastate Specialists, P.C.

  • Nurse Practitioner
  • Freehold, NJ
  • NPI 1700389301
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centrastate Medical Center, Inc

  • General Acute Care Hospital
  • Freehold, NJ
  • NPI 1295718450
  Care Compare affiliation
• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation
• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1730254053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-4600",
            "fax_number": "732-458-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247724",
            "telephone_number": "732-458-4600",
            "fax_number": "732-458-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA05283200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Suzanna Pecoraro, MD
• Pediatric Care Physicians, LLC
• Pediatric Medical Group of Central Jersey
• Pediatric Rehabilitation Services, Inc.
• Maritza Pellegrini
• Ariana J. Peluso
• Gabriela Andrea Penagos
• Susan Elizabeth Penrod, ATC
• Lindsey Peragallo-Flynn, DO
• Manuel Pereira Herrera, MD

• Surgical Oncology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Surgical Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.

Verify at the official NPI Registry.