Jillian M Peragallo (NPI# 1376944231, PAC ID# 6709105604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1376944231 |
| PAC ID by PECOS | 6709105604 |
| Professional Enrollment ID | I20150427001414 |
| Full Name | Jillian M Peragallo |
| Organization Legal Name | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Address |
996 Middle Country Rd Selden NY 11784-2511 |
| Phone Number | 6317365900 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355377789 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 996 Middle Country Rd, Selden, NY 11784-2511 | 6317365900 | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 6313605900 | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Organization Legal Name | STAT HEALTH IMMEDIATE MEDICAL CARE PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Rainone | Emergency Medicine | Stat Health Immediate Medical Care PC | 4724 Nesconset Hwy, Port Jefferson Station, NY 11776-2580 |
| Hollie U Mandiberg | Physician Assistant | Stat Health Immediate Medical Care PC | 1930 Deer Park Ave, Deer Park, NY 11729-3328 |
| Evan M Meiner | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Michael Franklin | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Carol A Palmieri | Emergency Medicine | Stat Health Immediate Medical Care PC | 519 W Jericho Tpke, Smithtown, NY 11787-2619 |
| Street Address |
996 MIDDLE COUNTRY RD |
| City | SELDEN |
| State | NY |
| Zip | 11784-2511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Frank | Family Medicine | Internal Medicine Associates, PC | 243 Boyle Rd, Selden, NY 11784-1929 |
| David J Beneliyahu | Chiropractic | 636 Middle Country Rd, Selden, NY 11784-2500 | |
| Noha Elfar | Occupational Therapy | 764 Middle Country Rd, Suite 1, Selden, NY 11784-2503 | |
| Daniele J Kenny | Family Medicine | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Brigitte Barnett | Physical Therapy | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Geoffrey T O Connell | Clinical Social Worker | 1312 Middle Country Rd, Selden, NY 11784-2514 | |
| Michael Francis Marino | Psychologist, Clinical | 1305 Middle Country Rd, Suite 7, Selden, NY 11784-2554 | |
| Brian D Baraban | Podiatry | 1305 Middle Country Rd, Suite 1, Selden, NY 11784-2554 | |
| Darren T Mollo | Chiropractic | In Motion Chiropractic, P.C. | 1305 Middle Country Rd, Suite 13, Selden, NY 11784-2554 |
| Jeffrey M Block | Chiropractic | Abs Chiropractic, P.C. | 260 Middle Country Rd, Selden, NY 11784-2568 |
| Find all physicians in zip 11784 | |||
| City | SELDEN |
| Zip Code | 11784 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SELDEN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jillian M Peragallo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.