MEDICARE: JAMES F PELEGANO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	192563	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	192563	OTHER	NY	HIP
2	1999966	OTHER	NY	GHI
3	PJ2563	OTHER	NY	ATLANTIS HEALTH
4	1000027887	OTHER	NY	AFFINITY HEALTH
5	559760	OTHER	NY	UNITED HEALTH CARE
6	192563-A15	OTHER	NY	HEALTH FIRST
7	BK00896-03	OTHER	NY	AMERICHOICE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	73I331	OTHER	NY	EMPIRE BCBS
10	NS470	OTHER	NY	OXFORD HEALTH

General Provider Information

NPI Number	:	1396730081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES F PELEGANO MD

Provider Business Mailing Address
First Line	:	977 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2919
Country	:	US
Telephone Number	:	718-283-8015
Fax Number	:	718-635-7235

Provider Business Practice Location Address
First Line	:	4802 10TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2844
Country	:	US
Telephone Number	:	718-283-8853
Fax Number	:	718-635-7235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/18/2026

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Directions to “ JAMES F PELEGANO MD” Practice Location

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