Daniel Joseph Pender, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

122664 Issued in NY

Practice address

325 East Park Avenue
Long Beach, NY 11561-0963

Phone

(516) 431-9400

Fax

(516) 431-9414

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1982704086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115610963",
            "telephone_number": "516-431-9400",
            "fax_number": "516-431-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 EAST PARK AVENUE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115610963",
            "telephone_number": "516-431-9400",
            "fax_number": "516-431-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "122664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00513680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "0090681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS CO",
            "identifier": "AS187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Payne, LMT
• Debra A Pearce, LMSW
• Stephen B Pearlstein, RPH
• Pellicane Chiropractic PC
• Norman P Peltz, RPH
• Julie Lauren Pennetti, ANP-C, RN, CCRN
• Mark Perelman
• Molly Helen Perrotta, PNP-PC
• Sharon M Persky, ERYT-500
• Peter S Gelfand D O P C

• Otolaryngology Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.