Debra Penasso, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

200 Lake St
Newburgh, NY 12550-5243

Phone

(845) 565-8022

Fax

(845) 565-6349

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

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.

• Horizon Medical Group, P.C.

  dba Horizon Family Medical Group

  • Family Medicine Physician
  • Goshen, NY
  • NPI 1063488179
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1437495876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1412",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKE ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505243",
            "telephone_number": "845-565-8022",
            "fax_number": "845-565-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENASSO",
        "first_name": "DEBRA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETETIC REGISTRATION",
            "identifier": "862415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Pavich Devitt, MS
• Veronica Payton
• Peak Physical Therapy, PC
• Peet Family Chiropractic, PC
• Parry A Peet, DC
• Dayna Lynn Pendino, M.S. CCC-SLP, TSSLD
• Mary C Pennington
• Joseph Perales, LCSW
• Kristie Perez
• Jeanne Elizabeth Perrotta, MSW

• Registered Dietitian in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.