Allison Michelle Penfold, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023636-1 Issued in NY

Practice address

140 Saint Edwards St
Brooklyn, NY 11201-3904

Phone

(718) 858-6400

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Allison Michelle Rosenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1083021380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 64TH ST APT 411",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656770",
            "telephone_number": "845-323-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SAINT EDWARDS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013904",
            "telephone_number": "718-858-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Inverness Dr",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109565547",
            "country_code": "US",
            "telephone_number": "845-323-6011",
            "fax_number": "845-638-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENFOLD",
        "first_name": "ALLISON",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023636-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "ROSENBERG",
            "middle_name": "MICHELLE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Ellis Pendergast, LMSW
• William Pendergast
• Sima Suhas Pendharkar, MD
• Chetana Ravindra Pendkar, M.B.B.S.
• Nitin Chandra Pendyala, M.B.B.S
• Caiwei Peng
• Huiqing Peng
• Jinpeng Peng, MD
• Philip Peng
• Robert Peng, MD, MS

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.