Individual provider Active NPI

Donald T. Pennett, MD

  • Neurology Physician
  • Flemington, NJ
National Provider Identifier
1689778995
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA04341900 Issued in NJ
Practice address
1100 Wescott Dr Ste 205
Flemington, NJ 08822-4600
Phone
(908) 788-6555
Fax
(908) 237-2372
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA04341900 NJ Primary

Addresses

Primary practice location

1100 Wescott Dr Ste 205
Flemington, NJ 08822-4600

Mailing address

1100 Wescott Dr Ste 205
Flemington, NJ 08822-4600
Phone (908) 788-6555

Other identifiers 1

IdentifierTypeStateIssuer
1220403MedicaidNJ

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1689778995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR STE 205",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6555",
            "fax_number": "908-237-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WESCOTT DR STE 205",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224600",
            "telephone_number": "908-788-6555",
            "fax_number": "908-237-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNETT",
        "first_name": "DONALD",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA04341900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1220403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.