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DR. WALTER PEGOLI JR.
NPI 1114954252
Surgery - Pediatric Surgery in Rochester, NY

Active since June 26, 2006
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642(585) 275-4435(585) 273-1252 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Pegoli Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALTER PEGOLI JR. (NPI 1114954252) is an individual pediatric surgery provider in Rochester, New York, licensed in New York (207965) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114954252
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. WALTER PEGOLI JR.
Location Address601 ELMWOOD AVE, BOX SURGRochester, NY 14642-8410
Mailing Address601 Elmwood Ave, Box SurgRochester, NY 14642-8410 · (585) 275-4435 · Fax (585) 273-1252
Phone(585) 275-4435
Fax(585) 273-1252
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 30, 2023
✔ NPI 1114954252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in NY · 207965
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
601 ELMWOOD AVE, Rochester, NY 14642
Open in Google Maps ↗

Other Identifiers 1

Medicaid01741551NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Pegoli's NPI number?

The NPI number for Walter Pegoli is 1114954252. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Walter Pegoli located?

Walter Pegoli practices at 601 Elmwood Ave Box Surg, Rochester, NY 14642. The listed phone number is (585) 275-4435.

What is Walter Pegoli's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Walter Pegoli was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.