Christina Pentlow

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

279708-1 Issued in NY

Practice address

2001 Marcus Ave Ste N204
New Hyde Park, NY 11042-1084

Phone

(516) 321-5050

NPI assigned

Apr 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: christinapentlow@nslijmedgr.allscriptsdirect.net

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043577067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67129 CLYDE ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754110",
            "telephone_number": "917-903-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE N204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421084",
            "telephone_number": "516-321-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTLOW",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "279708-1",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Pellicane, NP
• Lindsay Pellicano, NP
• Pelvic Floor Wellness LLC
• Allison Pennisi, SLP
• Attilio S. Pensavalle, PT DPT
• Marielle Nicole Penyy, DVM
• Annette Peoples, RPA-C
• Gina Marie Pepe
• Russell James Pepe, MD
• Peter Perdik, MD

• Endocrinology, Diabetes & Metabolism Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Endocrinology, Diabetes & Metabolism Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.