Penina Y Zadeh, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

033156 Issued in NY

Practice address

1122 Chestnut Ave
Brooklyn, NY 11230-5844

Phone

(718) 942-3888

NPI assigned

Apr 18, 2025

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hasc Diagnostic &Treatment Center, Inc

  dba Blanche Kahn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1902872591
  Medicare reassignment
• Hasc Diagnostic & Treatment Center, Inc

  dba Rambam Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1528951456
  NPD
• Hasc Diagnostic & Treatment Center, Inc

  dba Rambam Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1790678647
  NPD
• Hasc Diagnostic & Treatment Center, Inc

  dba Rambam Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1326519612
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1043006695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104516",
            "telephone_number": "646-301-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CHESTNUT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305844",
            "telephone_number": "718-942-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "PENINA",
        "middle_name": "Y",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "033156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarela Zachariah, PHARM.D
• Amber Zacharovich, PTA
• Arnold Zachter
• Batya Mazal Zachter I
• Mehran Y. Zadeh
• Natalie Zadok
• Tal Meital Zadok
• Iryna Zadoretska
• Eugenia Zadorozhna
• Pauline Zadov, PHARM D

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.