Active NPIIndividual providerSole proprietor

Dr. Nicole A Pellegrino, OD

Optometrist in West Berlin, New Jersey

NPI Number1982820817
Practice location
265 N Route 73, West Berlin, NJ 08091-2500
Fax
856-753-8776
Last updated
August 25, 2021

Nicole Anne Pellegrino is an Optometrist based in West Berlin, NJ. Nicole Anne Pellegrino practices in West Berlin, NJ and has the professional credentials of OD. The NPI Number for Nicole Anne Pellegrino is 1982820817 and holds a License No. 27OA00595300 (NJ). The current practice location address for Nicole Anne Pellegrino is 265 N Route 73, West Berlin, NJ 08091-2500 and can be reached out via phone at 856-753-6390 and via fax at 856-753-8776.

Provider Profile Details

NPI Number
1982820817
Provider Name
Nicole Anne Pellegrino
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
265 N Route 73, West Berlin, NJ 08091-2500
Phone Number
856-753-6390
Fax Number
856-753-8776
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 18, 2007
Last Update Date
August 25, 2021
Certification Date
August 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 N Route 73
West Berlin, NJ 08091-2500
Zip
08091-2500
Phone Number
856-753-6390
Fax Number
856-753-8776
West Berlin, NJ 08091Get directions →

Provider Business Mailing Address Details

Address
435 Hurffville Grenloch RD
Sewell, NJ 08080-3633
City
Sewell
State
NJ
Zip
08080-3633
Phone Number
609-364-6677

License Information

License Number
27OA00595300
License State
NJ
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicole A Pellegrino, OD?

The NPI number of Dr. Nicole A Pellegrino, OD is 1982820817. It was assigned on April 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole A Pellegrino, OD?

Dr. Nicole A Pellegrino, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00595300.

Where does Dr. Nicole A Pellegrino, OD practice?

The practice location is 265 N Route 73, West Berlin, NJ 08091-2500. The office can be reached at 856-753-6390 (phone) or 856-753-8776 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982820817 directly on the NPPES registry website.

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