Individual provider Active NPI

Danielle Ilana Pellman, RPA

  • Physician Assistant
  • Greenwich, CT
National Provider Identifier
1912485020
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6115 Issued in CT
Practice address
77 Lafayette PL
Greenwich, CT 06830-5437
Phone
(203) 863-4250
Fax
(203) 863-4249
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6115 CT Primary

Addresses

Primary practice location

77 Lafayette PL
Greenwich, CT 06830-5437

Mailing address

77 Lafayette PL
Greenwich, CT 06830-5437
Phone (203) 863-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019003185 CT Practitioner - Physician Assistant 1456780436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0243314NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Hospital CurrentSince Aug 6, 2023 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

77 Lafayette Pl
Greenwich, CT 06830
Phone (203) 863-3737

Interoperability endpoints

  • Direct secure messaging: dpellman625259@direct.ynhh.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1912485020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305437",
            "telephone_number": "203-863-4250",
            "fax_number": "203-863-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305437",
            "telephone_number": "203-863-4250",
            "fax_number": "203-863-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLMAN",
        "first_name": "DANIELLE",
        "middle_name": "ILANA",
        "name_prefix": "Miss",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.