Individual provider Active NPI

Thomas R Penny, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bronx, NY
National Provider Identifier
1376695361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003426 Issued in NY
Practice address
2045 Lafayette Ave
Bronx, NY 10473-2008
Phone
(718) 863-4530
Fax
(718) 904-0073
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N003426 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X MD01710 NJ

Addresses

Primary practice location

2045 Lafayette Ave
Bronx, NY 10473-2008

Mailing address

2045 Lafayette Ave
Bronx, NY 10473-2008
Phone (718) 863-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003426NYMDMental Health Counselor
MD01710NJMDPrimary Podiatric Medicine Podiatrist
N003426NYMDPrimary Podiatric Medicine Podiatrist

Interoperability endpoints

  • Direct secure messaging: tpenny680850@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 LAFAYETTE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732008",
            "telephone_number": "718-863-4530",
            "fax_number": "718-904-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 LAFAYETTE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732008",
            "telephone_number": "718-863-4530",
            "fax_number": "718-904-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003426",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "MD01710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.