DR. VINCENT PENNISI (NPI# 1306375662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306375662 |
| Entity Type | Individual |
| Full Name | DR. VINCENT PENNISI |
| Credential | MD |
| Practice Address |
7550 Furmanville Avenue Middle Village NY 11379 |
| Mailing Address |
959 Hewlett Dr Valley Stream NY 11581-2707 |
| Practice Telephone | 2097473987 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P01342 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PO1342 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653341 | Vincent P Pennisi | Specialist | 1617 N California St., Suite 2-a, Stockton, CA 95204 | 2005-07-21 |
| Street Address |
7550 FURMANVILLE AVENUE |
| City | MIDDLE VILLAGE |
| State | NY |
| Zip Code | 11379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313771 | Metro Chemists Pharmacy Inc. | Pharmacy | 73-01a Metropolitan Ave, Middle Village, NY 11379 | 2020-07-08 |
| 1063971760 | Nina Rapaport | Counselor | 63-17b Metropolitan Ave, Middle Village, NY 11379 | 2019-03-13 |
| 1275051864 | Ruo Ting Chen | Pharmacist | 7660 Metropolitan Ave, Middle Village, NY 11379 | 2017-09-02 |
| 1730618018 | Technology Testing of Ny, LLC | Technician | 7114 66 Drive, #3, Middle Village, NY 11379 | 2017-06-08 |
| 1700244977 | Bibi Macoon | Specialist | 63-25 Dry Harbor Road, Middle Village, NY 11379 | 2016-02-03 |
| 1588021562 | Christina Bott | Dentist | 61-02 82 St, Middle Village, NY 11379 | 2016-01-22 |
| 1518343326 | Licet Valois | Social Worker | 70-01 Metropolitan Avenue, Queens, NY 11379 | 2015-08-04 |
| 1104225002 | Resiliency Express Lcsw PC | Clinic/Center | 74-05 Metropolitan Avenue, 2nd Floor, Middle Village, NY 11379 | 2014-08-15 |
| 1710308044 | Mineola Eye Care 2 Inc | Eyewear Supplier (Equipment, not the service) | 8220 A Eliot Aveune, Middle Village, NY 11379 | 2014-01-06 |
| 1376986497 | Aneta Krysiuk | Case Manager/Care Coordinator | 6284 69th St, Middle Village, NY 11379 | 2013-04-08 |
| Find all providers in zip 11379 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681782 | Brtc Ni Inc | Family Medicine | 6315 83rd St, Middle Village, NY 11379-1962 | 2020-02-14 |
| 1861966178 | Luis Diaz | Family Medicine | 7721 66th Dr, Middle Village, NY 11379-2620 | 2019-01-20 |
| 1932360583 | Peter Francis Formica | Family Medicine | 84-46 63 Avenue, Middle Village, NY 11379 | 2008-06-17 |
| 1376747378 | Gennadiy Kvetny Physician, PC | Family Medicine | 7554 Metropolitan Ave, Middle Village, NY 11379-2639 | 2007-06-13 |
| 1164482618 | Gennadiy Kvetny | Family Medicine | 7554 Metropolitan Ave, Middle Village, NY 11379-2639 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE VILLAGE |
| Zip Code | 11379 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.