Individual provider Active NPI

Ralph Pellecchia, M.D.

  • Obstetrics & Gynecology Physician
  • Jersey City, NJ
National Provider Identifier
1962527929
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MAO6380500 Issued in NJ
Practice address
935 Garfield Ave
Jersey City, NJ 07304-2731
Phone
(201) 478-5800
Fax
(201) 478-5850
NPI assigned
Mar 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MAO6380500 NJ Primary

Addresses

Primary practice location

935 Garfield Ave
Jersey City, NJ 07304-2731

Mailing address

9 Pine Road
Allendale, NJ 07401
Phone (201) 962-8094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080409000424 NJ Practitioner - Obstetrics/Gynecology 4284711656 Reassigns benefits to 1 organization
I20260520002459 NY Practitioner - Obstetrics/Gynecology 4284711656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 W 97 St
New York, NY 10025-6450
Phone (212) 531-7533

801 Amsterdam Ave
New York, NY 10025-5752
Phone (212) 531-7533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MAO6380500NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Family Health Network, Inc. Current Accepting new patients
Metropolitan Family Health Network, Inc CurrentSince Sep 1, 2006 Accepting new patients
New Margaret Hague Womens Health Institute Obstetrics & Gynecology Past Accepting new patients

Locations

935 Garfield Ave
Jersey City, NJ 07304
Phone (201) 478-5800

5300 Bergenline Ave
West New York, NJ 07093
Phone (201) 478-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations & group practices 4

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.

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962527929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PINE ROAD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "07401",
            "telephone_number": "201-962-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042731",
            "telephone_number": "201-478-5800",
            "fax_number": "201-478-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLECCHIA",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MAO6380500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.