Individual provider Active NPI

Lauren Penzi, M.D.

  • Dermatology Physician
  • Bethpage, NY
National Provider Identifier
1720437536
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
308189 Issued in NY
Practice address
73 Berkshire Rd
Bethpage, NY 11714-1023
Phone
(516) 476-0169
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 308189 NY Primary

Addresses

Primary practice location

73 Berkshire Rd
Bethpage, NY 11714-1023

Mailing address

820 2ND Ave
RM 3a
New York, NY 10017-4534
Phone (212) 661-3376

Other names 1

  • Dr. Lauren Magnani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712001307 NY Practitioner - Dermatology 4284900275 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

309 E Main St
Suite 201E
Smithtown, NY 11787-2844
Phone (631) 762-3376

Merit-based Incentive Payment System (MIPS)

Final score
65.84 of 100Reported as individual
Quality
41.17
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions958
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Dermatology and Cosmetics PLLC Single Specialty CurrentSince Aug 26, 2021 Accepting new patients
New York Dermatology & Mohs Surgery Group, PLLC Single Specialty CurrentSince Aug 26, 2021 Accepting new patients
New York Dermatology & Mohs Surgery Group, PLLC Single Specialty CurrentSince Aug 26, 2021 Accepting new patients

Locations

353 Veterans Memorial Hwy
Ste 101
Commack, NY 11725
Phone (631) 543-4888

353 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 543-4888

353 Veterans Memorial Hwy
Fl 1
Commack, NY 11725

225 W Montauk Hwy
Ste 3
Hampton Bays, NY 11946
Phone (212) 518-4562

820 2nd Ave
Rm 3A
New York, NY 10017
Phone (212) 661-3376

516 Old Country Rd
Plainview, NY 11803
Phone (516) 433-2424

309 E Main St
Ste 102
Smithtown, NY 11787
Phone (631) 360-2200

309 E Main St
Ste 201E
Smithtown, NY 11787
Phone (631) 762-3376

Interoperability endpoints

  • Direct secure messaging: lauren.penzi.1@7628.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1720437536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "RM 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174534",
            "telephone_number": "212-661-3376",
            "fax_number": "212-661-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BERKSHIRE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141023",
            "telephone_number": "516-476-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZI",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "308189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MAGNANI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

Verify at the official NPI Registry.