Organization Active NPI

Penn Medical Services, P.C.

  • Specialist
  • New York, NY
National Provider Identifier
1003098690
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142050 Issued in NY
Legal business name
PENN MEDICAL SERVICES, P.C.
Practice address
165 E 32ND St
New York, NY 10016-6054
Phone
(212) 726-0076
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shan Nagendra, M.D.
Title
Owner
Phone
(121) 726-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 142050 NY Primary

Addresses

Primary practice location

165 E 32ND St
New York, NY 10016-6054

Mailing address

165 E 32ND St
New York, NY 10016-6054
Phone (212) 726-0076

National Provider Directory

National Provider Directory

Locations

165 E 32nd St
New York, NY 10016
Phone (212) 532-2599

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1003098690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166054",
            "telephone_number": "212-726-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166054",
            "telephone_number": "212-726-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "NAGENDRA",
        "authorized_official_first_name": "SHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "121-726-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "142050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.