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Dwayne Pennicooke, MSED
NPI 1538422274 · Specialist · Bronx, NY
Dwayne Pennicooke, MSED is a Specialist provider in Bronx, NY (NPI 1538422274).
Provider details
- NPI number
- 1538422274
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MSED
- Sex
- Male
- Sole proprietor
- Yes
- License
- 811870 (NY)
Specialties & taxonomies
Other Service Providers
- Early Intervention Provider Agency252Y00000X
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4828 Osgood St
Bronx, NY 10470-1021
Phone: (914) 290-9041
Street-level locationGet directions
Mailing address
4828 Osgood St
Bronx, NY 10470-1021
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2012-06-18
Frequently asked questions
- What is Dwayne Pennicooke's NPI number?
- Dwayne Pennicooke's National Provider Identifier (NPI) is 1538422274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwayne Pennicooke's specialty?
- Dwayne Pennicooke is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Dwayne Pennicooke located?
- Dwayne Pennicooke's practice location on file with NPPES is 4828 Osgood St, Bronx, NY 10470-1021.
- What is Dwayne Pennicooke's phone number?
- The practice phone number listed in the NPPES registry for Dwayne Pennicooke is (914) 290-9041.
- Is Dwayne Pennicooke's NPI active?
- Yes — Dwayne Pennicooke's NPI (1538422274) is active in the NPPES registry as of the last update on 2012-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.