Ralph P. Pennino, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

147683 Issued in NY

Practice address

10 Hagen Dr
Suite 310
Rochester, NY 14625-2660

Phone

(585) 922-5840

Fax

(585) 586-7558

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TRW Aesthetic Associates, LLC

  • Specialist
  • Rochester, NY
  • NPI 1518059195
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1376561738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HAGEN DR",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252660",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HAGEN DR",
            "address_2": "SUITE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252660",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINO",
        "first_name": "RALPH",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NY",
            "license": "147683",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "147683",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "147683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uma Penmetsa, M.D.
• Thomas E Penn, MD
• Janet A Pennella-Vaughan, N.P.
• Anthony Pennie, LPN
• Zoe Pennington, BS, CASAC-T
• Kyshara Penns, RN
• Kathy A Penny, ANP, GNP-BC
• Heather Anne Penrose, LCSW
• Alice P Pentland, MD
• People Inc.

• Plastic Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.