1. Home
  2. Directory
  3. New York
  4. Deer Park
  5. Physician Assistant
  6. NPI Profile

GABRIELLA ROSE PELLETTERI PA-C
NPI 1619715430
Physician Assistant in Deer Park, NY

Active since July 16, 2024PECOS EnrolledAccepts Medicare Assignment
16 VAN COTT RD STE 2E, DEER PARK, NY 11729(631) 274-0777(631) 274-0777 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Gabriella Rose Pelletteri Pa-c NPPES

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

GABRIELLA ROSE PELLETTERI PA-C (NPI 1619715430) is an individual physician assistant in Deer Park, New York, licensed in New York (032485) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619715430
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLA ROSE PELLETTERICredential: PA-C
Location Address16 VAN COTT RD STE 2EDeer Park, NY 11729-6519
Mailing Address18 Evelyn LnCentereach, NY 11720-3819 · (631) 983-9807
Phone(631) 274-0777
Fax(631) 274-0777
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2024
Last NPPES UpdateSeptember 14, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2024
✔ NPI 1619715430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 032485
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16 VAN COTT RD STE 2E, Deer Park, NY 11729
Open in Google Maps ↗

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

Gabriella Rose Pelletteri Pa-c 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 ID2466940085
PECOS Enrollment IDI20251024000370
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 11729 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

PRISCILLA ROSE POUCHIE RN, FNP
Nurse Practitioner (Family)
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
AMRIT GHARA NP
Nurse Practitioner (Adult Health)
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
LAUREN E BOVELLE R.P.A.
Physician Assistant (Medical)
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (631) 274-0777
LONG ISLAND QUEENS HEARING ASSO INC
Hearing Aid Equipment
16 VAN COTT RD STE 2E
DEER PARK, NY 11729
Suffolk County (855) 423-3700

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 Gabriella Pelletteri's NPI number?

The NPI number for Gabriella Pelletteri is 1619715430. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Gabriella Pelletteri located?

Gabriella Pelletteri practices at 16 Van Cott Rd Ste 2E, Deer Park, NY 11729. The listed phone number is (631) 274-0777.

What is Gabriella Pelletteri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gabriella Pelletteri enrolled in Medicare?

Yes. Gabriella Pelletteri 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.

When was this NPI record last updated?

The NPPES record for Gabriella Pelletteri was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.