PENG PANG M.D.
NPI 1174703359
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY
About Peng Pang M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENG PANG M.D. (NPI 1174703359) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (247885) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peng Pang M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Peng Pang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 590 clinicians in this Medicare group
New York, NY 10075
- Reassigned Medicare billing, New York enrollment
- 530 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Peng Pang's NPI number?
The NPI number for Peng Pang is 1174703359. It was assigned to this individual provider in the NPPES registry on November 6, 2007.
Where is Peng Pang located?
Peng Pang practices at 347 5th Ave, New York, NY 10016. The listed phone number is (718) 715-6309.
What is Peng Pang's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Peng Pang enrolled in Medicare?
Yes. Peng Pang is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Peng Pang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peng Pang reassigns Medicare benefits to 3 organizations: Mccd Psychiatry Services PLLC (New York, NY), Physicians Of University Hospital, PC (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peng Pang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peng Pang accept?
Health plans from Oscar Health list Peng Pang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peng Pang was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Peng Pang, M.D. · NPI 1174703359
Child & Adolescent Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since November 6, 2007.
## Identity
- **NPI:** 1174703359 (Entity type: Individual)
- **Enumerated:** November 6, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 247885 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 347 5TH AVE, New York, NY 10016-5010
- **Phone:** (718) 715-6309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mccd Psychiatry Services PLLC (NPI 1033750823, New York, NY); Physicians Of University Hospital, PC (NPI 1992200075, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174703359) · Data from the CMS NPPES public registry.