Penfel Health Medical PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228891-1 Issued in NY

Legal business name

PENFEL HEALTH MEDICAL PC

Practice address

59 Lindenwood Rd
Staten Island, NY 10308-2737

Phone

(718) 984-2484

Fax

(718) 646-1894

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Emma Poroger, M.D D.O

Title

Medical Dirtector

Phone

(718) 984-2484

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203206400000",
    "number": "1891963476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GIFFORDS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082011",
            "telephone_number": "718-984-2484",
            "fax_number": "718-646-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LINDENWOOD RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082737",
            "telephone_number": "718-984-2484",
            "fax_number": "718-646-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENFEL HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-17",
        "status": "A",
        "authorized_official_last_name": "POROGER",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MEDICAL DIRTECTOR",
        "authorized_official_telephone_number": "718-984-2484",
        "authorized_official_credential": "M.D D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228891-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENCE",
            "identifier": "5921271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Pena, RN
• Yesenia Victoria Pena
• Luisa Alejandra Penagos
• Miriam Elizabeth Penas, SOCIAL WORKER
• Keann Pender
• Valerie Pennacchio, RN
• Louise Pennington
• Viviene Pennington, LMSW
• Mya Pauline Pennisi, MS, OTR/L
• Penrose Dermatology PLLC

• Family Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; 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.