JOAN ELIZABETH PELLEGRINO MD
NPI 1407876584
Medical Genetics - Clinical Genetics (M.D.) in Syracuse, NY

Q: What is Joan Pellegrino's NPI number?

The NPI number for Joan Pellegrino is 1407876584. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Joan Pellegrino's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Joan Pellegrino was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

725 IRVING AVE, CROUSE POB, SYRACUSE, NY 13210(315) 464-6395(315) 464-7238 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joan Elizabeth Pellegrino Md NPPES

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

JOAN ELIZABETH PELLEGRINO MD (NPI 1407876584) is an individual clinical genetics (m.d.) provider in Syracuse, New York, licensed in New York (233547) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of State University Of Ny Upstate Medical University (1990).

NPPES Registry Identity

NPI1407876584

Entity TypeIndividualFemale

Primary Taxonomy207SG0201X

Provider Legal NameJOAN ELIZABETH PELLEGRINOCredential: MD

Location Address725 IRVING AVE, CROUSE POBSyracuse, NY 13210-1603

Mailing Address725 Irving Ave, Crouse PobSyracuse, NY 13210-1603 · (315) 464-6395 · Fax (315) 464-7238

Phone(315) 464-6395

Fax(315) 464-7238

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1990

Enumeration DateJuly 20, 2006

Last NPPES UpdateAugust 27, 2013

✔ NPI 1407876584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in NY · 233547

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

725 IRVING AVE, Syracuse, NY 13210

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Other Identifiers 3

Medicare UPING62256NY

Medicaid02619152NY

Medicare PINRA5198NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joan Elizabeth Pellegrino Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597713628

PECOS Enrollment IDI20050105000891

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330241

Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

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.

DR. FARUK OKTEM

Pediatrics (Pediatric Nephrology)

725 IRVING AVE, STE 805
SYRACUSE, NY 13210

Onondaga County (315) 464-6340

LAWRENCE S CHIN M.D.

Neurological Surgery

725 IRVING AVE, STE. 503
SYRACUSE, NY 13210

Onondaga County (315) 464-4470

LEAH KAUFMAN MD

Obstetrics & Gynecology

725 IRVING AVE, STE 600
SYRACUSE, NY 13210

Onondaga County (315) 464-5162

NIENKE PRINS DOSA MD

Pediatrics (Neurodevelopmental Disabilities)

725 IRVING AVE, CROUSE POB
SYRACUSE, NY 13210

Onondaga County (315) 464-4842

LAWRENCE RAYMOND SHOEMAKER MD

Pediatrics (Pediatric Nephrology)

725 IRVING AVE
SYRACUSE, NY 13210

Onondaga County (315) 464-6340

SUHAS V. PRADHAN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

725 IRVING AVE, STE 514
SYRACUSE, NY 13210

Onondaga County (315) 475-8409

DAVID P PAAR MD

Internal Medicine (Infectious Disease)

725 IRVING AVE, STE 311
SYRACUSE, NY 13210

Onondaga County (315) 464-5533

JUDITH MARTGARET REES NP

Nurse Practitioner (Adult Health)

725 IRVING AVE, SUITE # 304
SYRACUSE, NY 13210

Onondaga County (315) 464-5533

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 Joan Pellegrino's NPI number?

The NPI number for Joan Pellegrino is 1407876584. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Joan Pellegrino located?

Joan Pellegrino practices at 725 Irving Ave Crouse Pob, Syracuse, NY 13210. The listed phone number is (315) 464-6395.

What is Joan Pellegrino's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Joan Pellegrino enrolled in Medicare?

Yes. Joan Pellegrino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Joan Pellegrino affiliated with any hospitals?

According to CMS data, Joan Pellegrino is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Joan Pellegrino was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.