Active NPI
Penina Pearl Fenig, M.S.,CCC-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1164733432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010529
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 010529 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counselor
- Brooklyn, NY
- NPI 1508171059
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.