Individual provider Active NPI

Penina Burnstein, MD

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1538154174
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
184158 Issued in NY
Practice address
1318 52ND St
Brooklyn, NY 11219-3802
Phone
(718) 437-4500
Fax
(718) 871-2052
NPI assigned
Sep 20, 2005
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 184158 NY Primary

Addresses

Primary practice location

1318 52ND St
Brooklyn, NY 11219-3802

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
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

Enrollment IDStateProvider typePAC IDDetails
I20050309001063 NY Practitioner - Dermatology 4688628811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Faculty Practice PlanGroup PAC ID 7012808348, 251 clinicians

Practice addresses (Care Compare)

1250 57TH St
Brooklyn, NY 11219-4537
Phone (718) 283-8773

1318 52ND St
Brooklyn, NY 11219-3861
Phone (718) 437-4500

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions384
Removal of nail tissue1-10
Removal or shaving of skin growth93
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Dec 22, 2011 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Penina Burnstein MD PLLC Dermatology CurrentSince Jan 1, 2008 Accepting new patients
Eliezer Greenberg DPM PC PastSince Jan 1, 2008 Accepting new patients

Locations

1250 57th St
Brooklyn, NY 11219
Phone (718) 283-5700

3121 Ocean Ave
Brooklyn, NY 11235
Phone (718) 283-7741

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: penina.burnstein.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: peninaburnstein@mai.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1538154174",
    "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": "718-871-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 52ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193802",
            "telephone_number": "718-437-4500",
            "fax_number": "718-871-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSTEIN",
        "first_name": "PENINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "184158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.