Organization Active NPI

Penny Pediatrics, Inc., P.a.

  • Pediatrics Physician
  • Sebastian, FL
National Provider Identifier
1760646848
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0074526 Issued in FL
Legal business name
PENNY PEDIATRICS, INC., P.A.
Practice address
14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289
Phone
(772) 581-0300
Fax
(772) 581-0010
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Marza Penny, M.D.NPI 1518029214
Title
Pres., Sec., Treas., Director
Phone
(772) 581-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0074526 FL Primary

Addresses

Primary practice location

14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289

Mailing address

14430 US Highway 1
Suite 101
Sebastian, FL 32958-3289
Phone (772) 581-0300

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12222/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1760646848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1",
            "address_2": "SUITE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-581-0300",
            "fax_number": "772-581-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 US HIGHWAY 1",
            "address_2": "SUITE 101",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583289",
            "telephone_number": "772-581-0300",
            "fax_number": "772-581-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY PEDIATRICS, INC., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "PENNY",
        "authorized_official_first_name": "MARZA",
        "authorized_official_title_or_position": "PRES., SEC., TREAS., DIRECTOR",
        "authorized_official_telephone_number": "772-581-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0074526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.