Dr. Jennifer Lynn Peng, MD
Internal Medicine, Gastroenterology in New York, NY. Individual provider (NPI-1).
NPI number1659891737
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1659891737
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Lynn Peng
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GASTROENTEROLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 323004 | NY | Yes |
| 207R00000X | Internal Medicine | 323004-01 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11019416A | IN |
Practice location
550 1st AveNew York, NY 10016-6402
Phone 646-929-7870
Mailing address
111 BroadwayNew York, NY 10006-1901
Phone 212-263-9700
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