Organization Active NPI

Thomas R Penny DPM PC

  • Primary Podiatric Medicine Podiatrist
  • New York, NY
National Provider Identifier
1144418013
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003426 Issued in NY
Legal business name
THOMAS R PENNY DPM PC
Practice address
20 5TH Ave
New York, NY 10011-8831
Phone
(212) 505-0244
Fax
(718) 904-0073
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Thomas Robert Penny, DPM PC
Title
President
Phone
(212) 505-0244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X N003426 NY Primary

Addresses

Primary practice location

20 5TH Ave
New York, NY 10011-8831

Mailing address

259 California Quarry Rd
Woodstock, NY 12498-1045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1144418013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 CALIFORNIA QUARRY RD",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118831",
            "telephone_number": "212-505-0244",
            "fax_number": "718-904-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R PENNY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-505-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM PC"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003426",
            "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 Oct 4, 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.