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ILENE FENNOY MD
NPI 1770575862
Pediatrics - Pediatric Endocrinology in New York, NY

Active since August 16, 2005PECOS Enrolled
3959 BROADWAY, CHN 106, NEW YORK, NY 10032(212) 305-6559(212) 305-4778 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ilene Fennoy Md NPPES

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

ILENE FENNOY MD (NPI 1770575862) is an individual pediatric endocrinology provider in New York, New York, licensed in New York (122361) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770575862
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameILENE FENNOYCredential: MD
Location Address3959 BROADWAY, CHN 106New York, NY 10032
Mailing Address630 W 168th St, Ph5e 522New York, NY 10032 · (212) 305-6559 · Fax (212) 305-4778
Phone(212) 305-6559
Fax(212) 305-4778
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1770575862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in NY · 122361
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License 122361 (NY)

Other Identifiers 1

Medicaid01126769NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilene Fennoy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

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 Ilene Fennoy's NPI number?

The NPI number for Ilene Fennoy is 1770575862. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Ilene Fennoy located?

Ilene Fennoy practices at 3959 Broadway Chn 106, New York, NY 10032. The listed phone number is (212) 305-6559.

What is Ilene Fennoy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Ilene Fennoy enrolled in Medicare?

Yes. Ilene Fennoy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilene Fennoy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.