John Pelegano, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

026351 Issued in CT

Practice address

2150 Corbin Ave
New Britain, CT 06053-2266

Phone

(860) 827-4838

Fax

(860) 832-6274

NPI assigned

Feb 22, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1902871098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CORBIN AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532266",
            "telephone_number": "860-827-4838",
            "fax_number": "860-832-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CORBIN AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532266",
            "telephone_number": "860-827-4838",
            "fax_number": "860-832-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEGANO",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CT",
            "license": "026351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001263516",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolanta Alicia Pecora, M.A.CCCA.
• Lauren Marie Pedersen, LMFT
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• Pediatric Dentistry, P.C.
• Pedirite Medical CT PLLC
• Meghan Pellerin
• Mark Pennington, M.D.
• Stephanie Pennington, PH.D.
• Toni Penta, PT
• Jessica Pepin, LPC

• Developmental - Behavioral Pediatrics Physician in New Britain, CT
• Providers in New Britain, CT by specialty
• Developmental - Behavioral Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.