Organization Active NPI

Penina Burnstein MD PLLC

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1457520967
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
184158 Issued in NY
Legal business name
PENINA BURNSTEIN MD PLLC
Practice address
1318 52ND Street
Brooklyn, NY 11219
Phone
(718) 437-4500
Fax
(718) 871-2052
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Penina Burnstein, M.D.NPI 1538154174
Title
Owner
Phone
(718) 437-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 184158 NY Primary

Addresses

Primary practice location

1318 52ND Street
Brooklyn, NY 11219

Mailing address

PO Box 190233
Brooklyn, NY 11219-0233
Phone (718) 437-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000421 NY Part B Supplier - Clinic/Group Practice 9931272044 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1457520967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190233",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112190233",
            "telephone_number": "718-437-4500",
            "fax_number": "718-504-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 52ND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-437-4500",
            "fax_number": "718-871-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINA BURNSTEIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "BURNSTEIN",
        "authorized_official_first_name": "PENINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-437-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184158",
            "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 Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.