Individual provider Active NPI

James R Pellegrini, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1760431829
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
152142 Issued in NY
Practice address
2405 Avenue P
Brooklyn, NY 11229-1605
Phone
(718) 338-7102
Fax
(718) 338-1280
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 152142 NY
Allergy Physician 207KA0200X 152142 NY
Internal Medicine Physician 207R00000X 152142 NY
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 152142 NY Primary

Addresses

Primary practice location

2405 Avenue P
Brooklyn, NY 11229-1605

Mailing address

400 Glen Cove Ave
Sea Cliff, NY 11579-2100
Phone (516) 766-7556

Other practice location 1

400 Glen Cove Ave
Sea Cliff, NY 11579-2100
Phone (516) 766-7556

Other identifiers 2

IdentifierTypeStateIssuer
01850724MedicaidNY
152142OtherNYNEW YORK LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000106 NY Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8820274434 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Sea Cliff, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

2405 Ave P
Brooklyn, NY 11229-1605
Phone (718) 338-7102

400 Glen Cove Ave
Suite 7
Sea Cliff, NY 11579-2100
Phone (516) 676-6838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Jun 2, 2025 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Nassau Health Care Corporation CurrentSince Jun 2, 2025 Accepting new patients
Kingsway Internal Medicine Internal Medicine PastSince Jun 23, 2025 Accepting new patients
Goldberg & Pellegrini, MD, P.C. Internal Medicine Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1760431829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115792100",
            "telephone_number": "516-766-7556",
            "fax_number": "516-676-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291605",
            "telephone_number": "718-338-7102",
            "fax_number": "718-338-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Glen Cove Ave",
            "address_purpose": "LOCATION",
            "city": "Sea Cliff",
            "state": "NY",
            "postal_code": "115792100",
            "country_code": "US",
            "telephone_number": "516-766-7556",
            "fax_number": "516-676-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "152142",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "152142",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152142",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "152142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01850724",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK LICENSE",
            "identifier": "152142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.