Vanessa Ambereen Ali-Pennock, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

260126 Issued in NY

Practice address

54 Sunnyside Blvd
Plainview, NY 11803-1517

Phone

(516) 506-7776

Fax

(516) 719-0708

NPI assigned

Jul 21, 2009

Last updated

Feb 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: vanessa.alipennock@hrh.eclinicaldirectplus.com

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

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Family Medicine

  Medicare reassignment NPD
• Primary Medical Associates of Long Island PLLC

  • Family Medicine Physician
  • Plainview, NY
  • NPI 1306196936
  Medicare reassignment NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD
• Retina & Ophthalmology Services of New York PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Elmhurst, NY
  • NPI 1922708262
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1205066503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI-PENNOCK",
        "first_name": "VANESSA",
        "middle_name": "AMBEREEN",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "260126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3545622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Louise Alfano, MS
• Melissa Anne Alford, M.S., CCC-SLP
• Nilda Algarin, BILINGUAL SPECIAL ED
• Menatallah Algohary, MD
• Nitasha Ali-Chojnowski, NP
• Sheza Ali
• Align Collaborative NP in Psychiatry PLLC
• Nader Alkhatib
• All About Kids
• All About Kids

• Family Medicine Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.