Penina Blumstein

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1030 Neilson St Apt 1E
Far Rockaway, NY 11691-5097

Phone

(516) 405-9585

NPI assigned

Jan 30, 2023

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

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

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.

• Mehri Songhorian Medical PC

  • Medical Specialty Clinic/Center
  • Great Neck, NY
  • NPI 1023887544
  Medicare reassignment

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1821704008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NEILSON ST APT 1E",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915097",
            "telephone_number": "516-405-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NEILSON ST APT 1E",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915097",
            "telephone_number": "516-405-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMSTEIN",
        "first_name": "PENINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Yael Blisko, CCC-SLP
• Lisa Beth Blitz-Dunn, MS
• Ruchama Blobstein, OTR/L
• Jessica Blumenthal
• Sophia Blumenthal
• Melody Jo Boafo, MD
• Adwoa Boamah
• Keino Bobb, LMSW
• Paula Boberg, R.N.
• Linda Bobker, OTR/L

• Physician Assistant in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.