Active NPI
Diane M. Penner
- Specialist
- Scarsdale, NY
National Provider Identifier
1508293515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 857225
- Practice address
- 27 Crane Rd
Scarsdale, NY 10583-4251 - Phone
- (914) 472-4404
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 857225 | NY | Primary |
Addresses
Primary practice location
27 Crane Rd
Scarsdale, NY 10583-4251
Mailing address
77 Burnside Dr
Hastings on Hudson, NY 10706-3014
Phone (914) 478-7874
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 857225 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alcott School | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Dobbs Ferry, NY
- NPI 1013154830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1508293515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 BURNSIDE DR",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107063014",
"telephone_number": "914-478-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CRANE RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834251",
"telephone_number": "914-472-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNER",
"first_name": "DIANE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "857225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarsdale, NY
- Peaceful Living Mental Health Counseling, PLLC
- Peaceful Place Mental Health Counseling, PLLC
- Paul Pechman, M.D.
- Jasmine Peck, LMSW
- Pediatric Endocrinology of New York P.C
- Joshua Penners, DDS
- Alexandra Marie Pepe, LMSW
- Jeremiah Perecky, LMHC
- Perinatal Maternal Psychiatry of New York PC
- Dean A Perlman, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.