John Pelligra
Gynecologist
2164 Highway 35 Bldg D-A
Sea Girt
, New Jersey 08750-1013
John Pelligra
Gynecologist
2164 Highway 35 Bldg D-A
Sea Girt
, New Jersey 08750-1013
(708) 342-2517
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- John Pelligra
- Po Box 8000 Dept 596
- Buffalo, NY
- Zip : 14267-0002
- Fax : (708) 342-2517
- Phone : (866) 295-0041
Second Address
- John Pelligra
- 2164 Highway 35 Bldg D-A
- Sea Girt, NJ
- Zip : 08750-1013
- Fax : (732) 974-1283
- Phone : (732) 974-0320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 25MA04651400 | NJ |
National Provider Identifier
| NPI | 1023057726 |
|---|---|
| Provider Name | John Pelligra |
| First Address | Buffalo, NY 14267-0002 |
| Second Address | Sea Girt, NJ 08750-1013 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 20/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1133209 | (05) | NJ |
| C55045 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.