MRS. BRIDGET A PELLEGRINI (NPI# 1619140738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619140738 |
| Entity Type | Individual |
| Full Name | MRS. BRIDGET A PELLEGRINI |
| Credential | RPAC |
| Practice Address |
Suny At Stony Brook Level T9 Stony Brook NY 11794-8430 |
| Practice Telephone | 6314441910 |
| Practice Fax Number | 6314443765 |
| Mailing Telephone | 6314441910 |
| Mailing Fax Number | 6314443765 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004605 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SUNY AT STONY BROOK LEVEL T9 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-8430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588414 | Joyce Lorraine Quick | Physician Assistant | Stony Brook Univerity Medical Center, Suny @ Sb, Hsc Level 16, Room 080, Stony Brook, NY 11794-8167 | 2008-08-19 |
| 1013174861 | Marlo Karen Dombroff | Physician Assistant | University Associates In Ob Gyn Ufpc, Stony Brook Cancer Center, Stony Brook, NY 11794-8091 | 2008-05-20 |
| 1649395229 | William Richard Gray | Physician Assistant | 2500 Nesconset Hwy Bldg 15h, Stony Brook, NY 11790-2554 | 2007-03-20 |
| 1386773406 | Marlon T. Munian | Physician Assistant | Health Sciences Tower Level 3 086, Stony Brook, NY 11794-0001 | 2007-03-05 |
| 1306494133 | Roshan T. Varughese | Physician Assistant | 101 Nicolls Rd Dept Of, Stony Brook, NY 11794-0001 | 2019-08-26 |
| 1003250622 | Christine Frances Campagna | Physician Assistant | 6 Technology Dr, Stony Brook, NY 11794-9254 | 2013-04-25 |
| 1609174796 | Monique Contento | Physician Assistant | 100 Patriots Rd, Stony Brook, NY 11790-3318 | 2011-03-14 |
| 1487962023 | Diana C Santori | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-8122 | 2010-09-16 |
| 1518127018 | Dona Angela Pellegrino | Physician Assistant | Stony Brook University Medical Ctr, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1811160559 | Jennifer Moldovan | Physician Assistant | 2500 Nesconset Hwy, Building 3c, Stony Brook, NY 11790-2555 | 2008-04-02 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on MRS. BRIDGET A PELLEGRINI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.