ANNETTE PERGAMO P.N.P.
NPI 1457767899
Nurse Practitioner - Pediatrics in Stony Brook, NY

Q: What is Annette Pergamo's NPI number?

The NPI number for Annette Pergamo is 1457767899. It was assigned to this individual provider in the NPPES registry on July 7, 2014. The provider is also known as Annette Kosiorowski.

Q: What is Annette Pergamo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Annette Pergamo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 07, 2014PECOS Enrolled

101 NICOLLS RD # T11-020, STONY BROOK, NY 11794(631) 444-4601 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

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About Annette Pergamo P.n.p. NPPES

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

ANNETTE PERGAMO P.N.P. (NPI 1457767899) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (382510) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457767899

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANNETTE PERGAMOCredential: P.N.P.

Location Address101 NICOLLS RD # T11-020Stony Brook, NY 11794-1108

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-4601

Phone(631) 444-4601

Sole ProprietorNo

Enumeration DateJuly 7, 2014

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1457767899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 382510

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 671930 (NY)

101 NICOLLS RD # T11-020, Stony Brook, NY 11794

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Other Names 1

Former Name (1)Annette Kosiorowski

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Pergamo P.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Annette Pergamo's NPI number?

The NPI number for Annette Pergamo is 1457767899. It was assigned to this individual provider in the NPPES registry on July 7, 2014. The provider is also known as Annette Kosiorowski.

Where is Annette Pergamo located?

Annette Pergamo practices at 101 Nicolls Rd # T11-020, Stony Brook, NY 11794. The listed phone number is (631) 444-4601.

What is Annette Pergamo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Annette Pergamo enrolled in Medicare?

Yes. Annette Pergamo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annette Pergamo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.