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DR. JOSIAH MOISES PENALVER MD
NPI 1669662417
Pediatrics - Pediatric Cardiology in Stony Brook, NY

Active since July 27, 2007PECOS Enrolled
101 NICOLLS RD FL HSC11, STONY BROOK, NY 11794(631) 444-2725(631) 444-7865 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Josiah Moises Penalver Md NPPES

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

DR. JOSIAH MOISES PENALVER MD (NPI 1669662417) is an individual pediatric cardiology provider in Stony Brook, New York, licensed in New York (252191) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2006).

NPPES Registry Identity

NPI1669662417
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JOSIAH MOISES PENALVERCredential: MD
Location Address101 NICOLLS RD FL HSC11Stony Brook, NY 11794-8111
Mailing Address16 Dyke RdSetauket, NY 11733-3055 · (646) 784-4370 · Fax (253) 449-3184
Phone(631) 444-2725
Fax(631) 444-7865
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2006
Enumeration DateJuly 27, 2007
Last NPPES UpdateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1669662417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 252191
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
101 NICOLLS RD FL HSC11, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Josiah Moises Penalver Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113143793
PECOS Enrollment IDI20260109000750
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.

Medicare Billing Reassignment

Medicare enrollment records show Josiah Penalver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.5 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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 4

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

MRS. JOANNE M CAMARDA PNP
Nurse Practitioner (Pediatrics)
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Suffolk County (631) 444-7720
JAKE LAZZARO GIGLIOTTI MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Suffolk County (631) 216-8902
RYAN STEVEN HIRSCHFELD M.D.
Pediatrics
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Suffolk County (631) 444-2648
DR. MARIE-CHRISTINE WRIGHT MD
Pediatrics
101 NICOLLS RD FL HSC11
STONY BROOK, NY 11794
Suffolk County (314) 446-7066

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 Josiah Penalver's NPI number?

The NPI number for Josiah Penalver is 1669662417. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Josiah Penalver located?

Josiah Penalver practices at 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794. The listed phone number is (631) 444-2725.

What is Josiah Penalver's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Josiah Penalver enrolled in Medicare?

Yes. Josiah Penalver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Josiah Penalver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josiah Penalver reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Josiah Penalver'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 Josiah Penalver was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.