Gretel Gisela Pellegrini, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

063371 Issued in NY

Practice address

430 Westchester Ave Ste 1
Port Chester, NY 10573-2843

Phone

(914) 289-0672

NPI assigned

Sep 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grp7006@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westchester Gentle Dentistry, P.C.

  • Dentist
  • Port Chester, NY
  • NPI 1952265258
  NPD
• Maria D. Herrera Dentistry, P.C.

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1922200633
  NPD (past)
• Kavita Sharma DDS PLLC

  • General Practice Dentistry
  • Torrington, CT
  • NPI 1619550845
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1851063572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLUE SLIP APT 19D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112226757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WESTCHESTER AVE STE 1",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105732843",
            "telephone_number": "914-289-0672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 E Northfield Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070394892",
            "country_code": "US",
            "telephone_number": "973-992-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Stowe Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Peekskill",
            "state": "NY",
            "postal_code": "105662582",
            "country_code": "US",
            "telephone_number": "914-817-0372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3753 91st St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727901",
            "country_code": "US",
            "telephone_number": "718-205-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "GRETEL",
        "middle_name": "GISELA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "12981",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "063371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Pagnotta
• Danielle Y Pang, DDS
• Barbara Ann Parlatore, RN
• Nilesh C. Patel, D.D.S.
• Pathmark Stores Inc (Pathmark Pharmacy)
• Viel Pena, CASAC-T
• Regina M Peniowich, R.N.
• Rafael D Pereira, MD
• Christopher Petrowski, LMT
• Carla Pileggi Caviola

• Periodontics in Port Chester, NY
• Providers in Port Chester, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.