Dr Walter Pegoli Jr, - Surgery in Rochester, NY

Dr Walter Pegoli Jr, is a Surgery - Pediatric Surgery physician based in Rochester, New York. Dr Walter Pegoli Jr is licensed to practice in New York (license number 207965) and his current practice location is 601 Elmwood Ave, Box Surg, Rochester, New York. He can be reached at his office (for appointments etc.) via phone at (585) 275-4435.

NPI number for Dr Walter Pegoli Jr is 1114954252 and his current mailing address is 601 Elmwood Ave, Box Surg, Rochester, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114954252.

Contact Information

Dr Walter Pegoli Jr,
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410
(585) 275-4435
(585) 273-1252

Map and Direction




Physician's Profile

Full NameDr Walter Pegoli Jr
GenderMale
SpecialitySurgery - Pediatric Surgery
Location601 Elmwood Ave, Rochester, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114954252
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 06/30/2023

Medical Identifiers

Medical identifiers for Dr Walter Pegoli Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114954252NPI-NPPES
01741551MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 207965 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Walter Pegoli Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Walter Pegoli Jr,
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410

Ph: (585) 275-4435
Dr Walter Pegoli Jr,
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410

Ph: (585) 275-4435

Reviews and Comments


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