Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bobbi Alfred Pellegrino, PA-C

Individual provider Medical Physician Assistant · NPI 1750512018

Bobbi Alfred Pellegrino, PA-C is a Physician Assistant in Staten Island, New York. Qualified in 2009, 17 years ago. Practices with Costa Orthopedics LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1099 Targee St
Staten Island, NY 10304-4310
Phone: (718) 448-3210
Fax: (718) 815-3379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013458 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 013458 (NY)

Record details

NPI number1750512018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2009
Last updated in NPPESJuly 7, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Costa Orthopedics Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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