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

Q: 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.

Q: What is Josiah Penalver's specialty?

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

Q: 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 3 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.

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment

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: August 02, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Dr. Josiah Moises Penalver Md 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 ID7113143793

PECOS Enrollment IDI20140717001948

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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Josiah Penalver accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Josiah Penalver 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 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 3 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.