Active NPI
Donna L Henig, MD
- Internal Medicine Physician
- East Meadow, NY
National Provider Identifier
1225093958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175199
- Practice address
- 100 Carman Ave
East Meadow, NY 11554-1160 - Phone
- (516) 572-3946
- Fax
- (516) 572-4367
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1751991 | NY | |
| Internal Medicine Physician | 207R00000X | 175199 | NY | Primary |
Addresses
Primary practice location
100 Carman Ave
East Meadow, NY 11554-1160
Mailing address
226 Mill Hill Ave
3Rd Floor
Bridgeport, CT 06610-2826
Phone (203) 863-3840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061574360 | Other | NY | AETNA |
| P644318 | Other | NY | OXFORD |
| 010030253CT02 | Other | NY | BLUE SHIELD |
| 0240772 | Other | NY | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000479 | NY | Practitioner - Internal Medicine | 5092749564 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1751991 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | 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": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225093958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 MILL HILL AVE",
"address_2": "3RD FLOOR",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102826",
"telephone_number": "203-863-3840",
"fax_number": "203-863-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CARMAN AVE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541160",
"telephone_number": "516-572-3946",
"fax_number": "516-572-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENIG",
"first_name": "DONNA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1751991",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "175199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "061574360",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P644318",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "010030253CT02",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0240772",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.