Individual provider Active NPI

Lindsay Ann He, MD

  • Pediatrics Physician
  • Rockville Centre, NY
National Provider Identifier
1104321066
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
309977 Issued in NY
Practice address
350 Sunrise Hwy
Rockville Centre, NY 11570-4908
Phone
(516) 763-4764
NPI assigned
Mar 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 309977 NY Primary

Addresses

Primary practice location

350 Sunrise Hwy
Rockville Centre, NY 11570-4908

Mailing address

199 2ND St Apt E508
Mineola, NY 11501-6002
Phone (952) 456-1468

Other names 1

  • Dr. Lindsay Ann Penzel Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309977NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC Pediatrics PastSince Jul 31, 2022 Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Jul 31, 2022 Accepting new patients
PM Pediatrics PC Pediatrics Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1104321066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 2ND ST APT E508",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115016002",
            "telephone_number": "952-456-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUNRISE HWY",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704908",
            "telephone_number": "516-763-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "309977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PENZEL",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.