Laura Anne Pellegrino, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308856 Issued in NY

Practice address

119 New York Ave
Massapequa, NY 11758-4601

Phone

(516) 799-2555

NPI assigned

Jul 30, 2018

Sex

Female

Sole proprietor

No

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 NY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mauro Gasparini MD PCGroup PAC ID 1456432400, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286

Merit-based Incentive Payment System (MIPS)

Final score

89.74 of 100Reported as individual

Quality

85.36

Improvement activities

40

Cost

69.66

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.pellegrino.1@10566.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10566/brand/1/csg/1/fhir/r4

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.

• Mauro Gasparini, M.D., P.C.

  • Internal Medicine Physician
  • Massapequa, NY
  • NPI 1144376880
  Medicare reassignment Care Compare group NPD
• Mark Gasparini, D.P.M. P.C.

  • Primary Podiatric Medicine Podiatrist
  • Massapequa, NY
  • NPI 1588728687
  NPD (past)

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

• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355
  Care Compare affiliation

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1952889339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CASSEL AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066116",
            "telephone_number": "516-236-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NEW YORK AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584601",
            "telephone_number": "516-799-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Emily Peckman, COTA/L
• Peconic Urology P.C.
• Peddycoart NP in Family Healthp C
• Danielle Peddycoart
• Ann Marie Chan Pelayre, PT
• Jennine Perez-Hargrove, LPN
• Lauren Pernice
• Jennifer Ann Perrotta, M.A., CCC, SLP
• Anthony Perso, D.C.
• Robert Pesci, DPT

• Adult Health Nurse Practitioner in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.