NPIMap

Organization Active NPI

Paul H. Penzer MDPC

  • Pediatrics Physician
  • Westbury, NY
National Provider Identifier
1508870387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PAUL H. PENZER MDPC
Practice address
990 Westbury Road
Suite 100
Westbury, NY 11590
Phone
(516) 333-4100
Fax
(516) 333-4255
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan S Penzer
Title
Office Manager
Phone
(516) 333-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

990 Westbury Road
Suite 100
Westbury, NY 11590

Mailing address

990 Westbury Road
Suite 100
Westbury, NY 11590
Phone (516) 333-4100

National Provider Directory

National Provider Directory

Locations

990 Westbury Rd
Ste 100
Westbury, NY 11590
Phone (516) 333-4100

Practitioners & affiliated clinicians

Practitioners 4

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508870387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 WESTBURY ROAD",
            "address_2": "SUITE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-333-4100",
            "fax_number": "516-333-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WESTBURY ROAD",
            "address_2": "SUITE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-333-4100",
            "fax_number": "516-333-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H. PENZER MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENZER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-333-4100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.