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

MS. Mary Pegues, PA

Individual provider Physician Assistant · NPI 1902951080

MS. Mary Pegues, PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

264 W 118th St
New York, NY 10026-1620 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 932-6500
Fax: (212) 932-6599
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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 001685-1 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001685-1 (NY)

Record details

NPI number1902951080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2007
Last updated in NPPESFebruary 25, 2015

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