Raymond M Penyak

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6000003509 Issued in PA

Practice address

2135 Bustard Rd
Suite 2
Lansdale, PA 19446-5724

Phone

(800) 473-6925

Fax

(610) 584-9767

NPI assigned

Mar 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Accessible Services and Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lansdale, PA
  • NPI 1003331737
  NPD (past) Authorized official
• Accessible Services and Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lansdale, PA
  • NPI 1215811666
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1952572059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 BUSTARD RD",
            "address_2": "SUITE 2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465724",
            "telephone_number": "800-473-6925",
            "fax_number": "610-584-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 BUSTARD RD",
            "address_2": "SUITE 2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465724",
            "telephone_number": "800-473-6925",
            "fax_number": "610-584-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENYAK",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000003509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018511060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Penning, DDS
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Madelynn Jane Petrancuri, AUD
• Ann V Petrillo, CRNP
• Ralph J Petrucci, ED.D.
• Erin Pfister
• Doan Pham, PHARMD

• All providers in Lansdale, PA
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.