Active NPI
Robert P Penney, M.D.,F.A.C.O.G.
- Obstetrics & Gynecology Physician
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MA44510
- Practice address
- 704 N Beers St
Holmdel, NJ 07733-1519 - Phone
- (732) 739-2500
- Fax
- (732) 888-2778
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MA44510 | NJ | Primary |
Addresses
Primary practice location
704 N Beers St
Holmdel, NJ 07733-1519
Mailing address
704 N Beers St
Holmdel, NJ 07733-1519
Phone (732) 739-2500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0K4837 | Other | NJ | HEALTHNET |
| 0310670000 | Other | NJ | AMERIHEALTH |
| 1420208 | Medicaid | NJ | |
| MP096 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
704 N Beers St
Holmdel OBGYN
Holmdel, NJ 07733-1519
Phone (732) 739-2500
Hospital & facility affiliations
- Riverview Medical Center
- Bayshore Medical Center
- Monmouth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA44510 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Regional Women'S Health Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
2349 State Route 36
Atlantic Highlands, NJ 07716
Phone (732) 291-5121
704 N Beers St
Holmdel, NJ 07733
Phone (732) 739-2500
312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552
39 Avenue At the Cmn
Ste 207
Shrewsbury, NJ 07702
Phone (732) 389-0003
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
Interoperability endpoints
- robert.penney@axia.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1790773653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331519",
"telephone_number": "732-739-2500",
"fax_number": "732-888-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331519",
"telephone_number": "732-739-2500",
"fax_number": "732-888-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNEY",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.,F.A.C.O.G.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "MA44510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "0K4837",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0310670000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1420208",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "MP096",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.