Active NPI
Danielle Theresa Fisenne, MD
- Pediatrics Physician
- Plainview, NY
National Provider Identifier
1295475036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 336022
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 336022 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians Group, PLLC | Pediatrics | Current | Accepting new patients |
| Pediatrics Health Associates, P.C. | Pediatrics | Past | 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
- 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.
-
- Pediatrics Physician
- Melville, NY
- NPI 1396944799
-
- Pediatrics Physician
- Plainview, NY
- NPI 1386883155
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.