Individual provider Active NPI

Penina Pearl Fenig, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1164733432
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010529 Issued in NY
Practice address
440 Avenue P
Brooklyn, NY 11223-1935
Phone
(718) 376-5510
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 010529 NY Primary

Addresses

Primary practice location

440 Avenue P
Brooklyn, NY 11223-1935

Mailing address

792 Columbus Ave
Apartment 3a
New York, NY 10025-5150
Phone (646) 403-7467

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
Master of Science

State licenses

LicenseStateTypeSpecialty
010529NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Especial Education Associates Past Accepting new patients

Organizations & group practices 1

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1164733432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 COLUMBUS AVE",
            "address_2": "APARTMENT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255150",
            "telephone_number": "646-403-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231935",
            "telephone_number": "718-376-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENIG",
        "first_name": "PENINA",
        "middle_name": "PEARL",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.