Penina Yehudit Dienstag, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

276586 Issued in NY

Practice address

1 Healthy Way
Oceanside, NY 11572-1551

Phone

(877) 768-8462

NPI assigned

Apr 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Penina Yehudit Eisenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1598056285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11781 LEE JACKSON MEMORIAL HIGHWAY",
            "address_2": "ST 550",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "571-777-5164",
            "fax_number": "703-890-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "877-768-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENSTAG",
        "first_name": "PENINA",
        "middle_name": "YEHUDIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "276586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENINA",
            "last_name": "EISENBERG",
            "middle_name": "YEHUDIT",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diagnostic Medical Imaging of L.I., P.C.
• Asher Diamond, DDS
• Ileny Diaz
• Victoria Dic, PA-C
• Matthew Dicicco
• Nickole Difilippi
• Thomas V. Difusco, D.C.
• Amy Elizabeth Digiovanni
• Marisa Dimartino, LMHC
• Donald G. Russ, P.T., D.P.T., P.C.

• Anesthesiology Physician in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.