MRS. VANESSA AMBEREEN ALI-PENNOCK D.O.
NPI 1205066503
Family Medicine in Plainview, NY

Active since July 21, 2009PECOS EnrolledAccepts Medicare Assignment
54 SUNNYSIDE BLVD, PLAINVIEW, NY 11803(516) 506-7776(516) 719-0708 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Vanessa Ambereen Ali-pennock D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. VANESSA AMBEREEN ALI-PENNOCK D.O. (NPI 1205066503) is an individual family medicine provider in Plainview, New York, licensed in New York (260126) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).

NPPES Registry Identity

NPI1205066503
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. VANESSA AMBEREEN ALI-PENNOCKCredential: D.O.
Location Address54 SUNNYSIDE BLVDPlainview, NY 11803-1517
Mailing Address54 Sunnyside BlvdPlainview, NY 11803-1517 · (516) 506-7776 · Fax (516) 719-0708
Fax(516) 719-0708
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2009
Enumeration DateJuly 21, 2009
Last NPPES UpdateFebruary 26, 2014
NPI 1205066503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 260126
Definition
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.
54 SUNNYSIDE BLVD, Plainview, NY 11803

Other Identifiers 2

Medicaid3545622NY
Medicare PINA400081074NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Vanessa Ambereen Ali-pennock D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860648094
PECOS Enrollment IDI20130313000496
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims23 services$207.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
54 SUNNYSIDE BLVD, SUITE G-3
PLAINVIEW, NY 11803
Occupational Therapist
54 SUNNYSIDE BLVD, SUITE G3
PLAINVIEW, NY 11803
Psychologist (Clinical)
54 SUNNYSIDE BLVD, SUITE F
PLAINVIEW, NY 11803
Chiropractor
54 SUNNYSIDE BLVD, SUITE B
PLAINVIEW, NY 11803
Psychologist
54 SUNNYSIDE BLVD
PLAINVIEW, NY 11803

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 Vanessa Ali-pennock's NPI number?

The NPI number for Vanessa Ali-pennock is 1205066503. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Vanessa Ali-pennock located?

Vanessa Ali-pennock practices at 54 Sunnyside Blvd, Plainview, NY 11803. The listed phone number is (516) 506-7776.

What is Vanessa Ali-pennock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vanessa Ali-pennock enrolled in Medicare?

Yes. Vanessa Ali-pennock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vanessa Ali-pennock was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.