Jill U. Pentecostes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208295 Issued in NY

Practice address

186 Joralemon St
8TH Floor
Brooklyn, NY 11201-4326

Phone

(718) 858-1233

Fax

(718) 858-5095

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598780272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST",
            "address_2": "8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014326",
            "telephone_number": "718-858-1233",
            "fax_number": "718-858-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 JORALEMON ST",
            "address_2": "8TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014326",
            "telephone_number": "718-858-1233",
            "fax_number": "718-858-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTECOSTES",
        "first_name": "JILL",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "208295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Pennisi, P. A.
• Penpixel LLC
• Penpixel LLC
• Penpixel LLC
• Jacqueline Yvette Penson
• Constance Diane Pentony-Brown, CASAC-G
• Aneesh Vijay Penukonda, MD
• Josette Adrianna Penzel, DACCHM, LAC
• Victoria M Penzel, L.C.S.W.
• People Care Incorporated

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.