Individual provider Active NPI

Danielle Theresa Fisenne, MD

  • Pediatrics Physician
  • Plainview, NY
National Provider Identifier
1295475036
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
336022 Issued in NY
Practice address
100 Manetto Hill Rd Ste 302
Plainview, NY 11803-1311
Phone
(516) 931-7337
Fax
(516) 931-7444
NPI assigned
Mar 30, 2022
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 336022 NY Primary

Addresses

Primary practice location

100 Manetto Hill Rd Ste 302
Plainview, NY 11803-1311

Mailing address

175 Broadhollow Rd Ste 150
Melville, NY 11747-4909
Phone (631) 386-4100

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
336022NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group, PLLC Pediatrics CurrentSince Jul 13, 2025 Accepting new patients
Pediatrics Health Associates, P.C. Pediatrics PastSince Jul 13, 2025 Accepting new patients

Locations

175 Broadhollow Rd
Ste 150
Melville, NY 11747
Phone (616) 386-4100

100 Manetto Hill Rd
Ste 302
Plainview, NY 11803
Phone (516) 931-7337

Interoperability endpoints

  • Direct secure messaging: danielle.theresa.fisenne.1@29151.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1295475036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BROADHOLLOW RD STE 150",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474909",
            "telephone_number": "631-386-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD STE 302",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-931-7337",
            "fax_number": "516-931-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISENNE",
        "first_name": "DANIELLE",
        "middle_name": "THERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "336022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.