Active NPI
Leonard Penacerrada, M.D.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 236046
- Practice address
- 560 1St Ave
New York, NY 10016-6402 - Phone
- (212) 434-3040
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 236046 | NY | Primary |
Addresses
Primary practice location
560 1St Ave
New York, NY 10016-6402
Mailing address
560 1St Ave
New York, NY 10016-6402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02666228 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lpenacerrada37035@nyumc.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| New York University | Emergency Medicine | Current | Accepting new patients |
| New York University | Emergency Medicine | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| New York University | Emergency Medicine | Current | Accepting new patients |
| Fpa Hospital Based | Emergency Medicine | Current | Accepting new patients |
| St. Vincent'S Emergency Services PC | Emergency Medicine | Past | Accepting new patients |
| Park Lenox Emergency Medicine, PC | Emergency Medicine | Past | Accepting new patients |
| Beth Israel Medical Center | Emergency Medicine | Past | Accepting new patients |
| KHH Emergency Medicine | Emergency Medicine | Past | Accepting new patients |
| LH Emergency Medical Services PC | Emergency Medicine | Past | Accepting new patients |
Locations
3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
560 1st Ave
New York, NY 10016
Phone (212) 263-5362
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- lpenacerrada37035@nyumc.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Emergency Medicine, NY
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- NPI 1306837398
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- Emergency Medicine Physician
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- NPI 1740378421
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- Emergency Medicine Physician
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- NPI 1740330455
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- NPI 1154379808
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- Emergency Medicine Physician
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- NPI 1467605048
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- Emergency Medicine Physician
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- NPI 1497982904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1649362310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-434-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENACERRADA",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "236046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02666228",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpenacerrada37035@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "560 1st Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.