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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Annette Pergamo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Children's Health Physicians, LLP
39 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Annette Pergamo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Pergamo reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Pergamo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.