Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Josiah Moises Penalver, MD

Individual provider Pediatric Cardiology Physician · NPI 1669662417

Dr. Josiah Moises Penalver, MD is a Pediatric Medicine in Stony Brook, New York. Graduated from University of Washington School of Medicine in 2006, 20 years ago. Practices with Seattle Childrens Hospital, a 111-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
University of Washington School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd Fl HSC11
Stony Brook, NY 11794-8111
Phone: (631) 444-2725
Fax: (631) 444-7865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 252191 (NY)

Record details

NPI number1669662417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Seattle Childrens Hospital — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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