MRS. VANESSA AMBEREEN ALI-PENNOCK D.O.
NPI 1205066503
Family Medicine in Plainview, NY
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
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Vanessa Ali-pennock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainview, NY 11803
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 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.
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.
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.
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.
PLAINVIEW, NY 11803
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.
Which organizations bill Medicare for Vanessa Ali-pennock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Ali-pennock reassigns Medicare benefits to 3 organizations: Primary Medical Associates Of Long Island PLLC (Plainview, NY), North Shore-Lij Medical PC (Great Neck, NY) and Sun River Health Inc (Bronx, 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 Vanessa Ali-pennock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Vanessa Ambereen Ali-Pennock, D.O. · NPI 1205066503
Family Medicine physician in Plainview, New York. Individual provider, active in the CMS NPPES registry since July 21, 2009.
## Identity
- **NPI:** 1205066503 (Entity type: Individual)
- **Enumerated:** July 21, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 260126 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 54 SUNNYSIDE BLVD, Plainview, NY 11803-1517
- **Phone:** (516) 506-7776 · **Fax:** (516) 719-0708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Primary Medical Associates Of Long Island PLLC (NPI 1306196936, Plainview, NY); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2009
## Record status
- **NPPES last updated:** February 26, 2014
- **Other identifiers:** Medicaid 3545622 (NY); Medicare PIN A400081074 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1205066503) · Data from the CMS NPPES public registry.