JENNA PELLEGRINO MD
NPI 1689253585
Radiology - Diagnostic Radiology in New York, NY

Q: What is Jenna Pellegrino's NPI number?

The NPI number for Jenna Pellegrino is 1689253585. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Jenna Pellegrino's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Pellegrino was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2021PECOS Enrolled

1275 YORK AVE, NEW YORK, NY 10065(212) 639-6611 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 27, 2026, May 24, 2026, Apr 7, 2021 (3 updates tracked since 2021).

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About Jenna Pellegrino Md NPPES

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

JENNA PELLEGRINO MD (NPI 1689253585) is an individual diagnostic radiology provider in New York, New York, licensed in New York (342026) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689253585

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameJENNA PELLEGRINOCredential: MD

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address1275 York AveNew York, NY 10065-6007

Phone(212) 639-6611

Sole ProprietorNo

Enumeration DateApril 7, 2021

Last NPPES UpdateMay 27, 20263 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1689253585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NY · 342026

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1275 YORK AVE, New York, NY 10065

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Secondary Practice Locations 2

Location 1One Boston Medical Center PlaceBoston, MA 02118 · Phone (617) 638-8000

Location 2425 Jack Martin BlvdBrick, NJ 08724-7732 · Phone (732) 840-2200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Pellegrino Md 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 10065 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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 20

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

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)