Individual provider Active NPI

Robert P Penney, M.D.,F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Holmdel, NJ
National Provider Identifier
1790773653
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA44510 Issued in NJ
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

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0K4837OtherNJHEALTHNET
0310670000OtherNJAMERIHEALTH
1420208MedicaidNJ
MP096OtherNJOXFORD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000259 NJ Practitioner - Obstetrics/Gynecology 8022164599 Reassigns benefits to 1 organization

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
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

704 N Beers St
Holmdel OBGYN
Holmdel, NJ 07733-1519
Phone (732) 739-2500

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA44510NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Apr 1, 2013 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.