Individual provider Active NPI

Celia Penzer, D.M.D.

  • Pediatric Dentistry
  • Woodbury, NY
National Provider Identifier
1063886208
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
048912-0 Issued in NY
Practice address
800 Woodbury Rd
Woodbury, NY 11797-2503
Phone
(516) 921-0400
Fax
(516) 921-8629
NPI assigned
Nov 28, 2015
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 048912-0 NY Primary

Addresses

Primary practice location

800 Woodbury Rd
Woodbury, NY 11797-2503

Mailing address

800 Woodbury Rd
Woodbury, NY 11797-2503
Phone (516) 921-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
048912-0NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1448668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1063886208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-921-0400",
            "fax_number": "516-921-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-921-0400",
            "fax_number": "516-921-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZER",
        "first_name": "CELIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-28",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "048912-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.