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Dr. Jessica Lisa Pellegrini, Au.D., CCC-A, F-AAA

Audiologist in New Hyde Park, NY. Individual provider (NPI-1).

NPI number1104499441
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1104499441
Entity type
Individual (NPI-1)
Name
Dr. Jessica Lisa Pellegrini
Credential
Au.D., CCC-A, F-AAA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2021
Certification date
May 9, 2023
Last updated
May 9, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - QUALIFIED AUDIOLOGIST
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist003032NYYes

Practice location

6 Ohio Dr Ste 202
New Hyde Park, NY 11042-1129

Phone 516-775-2800

Mailing address

660 White Plains Rd Fl 4
Tarrytown, NY 10591-5139

Phone 914-333-5801

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Audiologist providers in New Hyde Park, NY

All 39 Audiologist providers in New Hyde Park · All 4,864 providers in New Hyde Park

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