PENINA Y ZADEH PA-C
NPI 1043006695
Physician Assistant - Medical in Brooklyn, NY
About Penina Y Zadeh Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINA Y ZADEH PA-C (NPI 1043006695) is an individual medical provider in Brooklyn, New York, licensed in New York (033156) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penina Y Zadeh Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11230
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penina Zadeh's NPI number?
The NPI number for Penina Zadeh is 1043006695. It was assigned to this individual provider in the NPPES registry on April 18, 2025.
Where is Penina Zadeh located?
Penina Zadeh practices at 1122 Chestnut Ave, Brooklyn, NY 11230. The listed phone number is (718) 942-3888.
What is Penina Zadeh's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Penina Zadeh enrolled in Medicare?
Yes. Penina Zadeh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Penina Zadeh was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Penina Y Zadeh, PA-C · NPI 1043006695
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1043006695 (Entity type: Individual)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 033156 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1122 CHESTNUT AVE, Brooklyn, NY 11230-5844
- **Phone:** (718) 942-3888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043006695) · Data from the CMS NPPES public registry.