Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joan Elizabeth Pellegrino, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1407876584

Joan Elizabeth Pellegrino, MD is a Pediatric Medicine in Syracuse, New York. Graduated from State University of Ny Upstate Medical University in 1990, 36 years ago. Practices with Pediatric Service Group, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

725 Irving Ave Crouse Pob
Syracuse, NY 13210-1603
Phone: (315) 464-6395
Fax: (315) 464-7238
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 233547 (NY)

Record details

NPI number1407876584
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 27, 2013

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesMEDICAL GENETICS AND GENOMICS
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1990 (36 years in practice)
Group practice Pediatric Service Group — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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