Ilene Fennoy, MD
Ilene Fennoy, MD is a Pediatric Endocrinology Physician in New York, NY, registered under NPI 1770575862. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3959 BROADWAY CHN 106, New York, NY 10032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 122361 | NY | Pediatric Endocrinology Physician primary |
| 122361 | NY | Pediatrics Physician |
This provider holds licence 122361 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 9638105372
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Endocrinology covers
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. NUCC Health Care Provider Taxonomy, code 2080P0205X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0205X | Pediatric Endocrinology Physician Pediatric Endocrinology | 122361 | NY | primary |
| 208000000X | Pediatrics Physician | 122361 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1770575862 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 16, 2005 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
3959 BROADWAY CHN 106 New York, NY 10032 (212) 305-6559 Fax (212) 305-4778 |
| Mailing address |
630 W 168TH ST PH5E 522 New York, NY 10032 |
| Other identifiers |
01126769
(NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 5 | 7 | 5 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 1 | 7 | 1 | 8 | 3 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.