Active NPIIndividual provider

David J Penn, PA

Physician Assistant in Teaneck, New Jersey

NPI Number1578682241
Practice location
730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144
Fax
201-530-0002
Last updated
March 11, 2024

David J Penn is a Physician Assistant based in Teaneck, NJ. David J Penn practices in Teaneck, NJ and has the professional credentials of PA. The NPI Number for David J Penn is 1578682241 and holds a License No. 25MP00041700 (NJ). The current practice location address for David J Penn is 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144 and can be reached out via phone at 201-353-9000 and via fax at 201-530-0002.

Provider Profile Details

NPI Number
1578682241
Provider Name
David J Penn
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144
Phone Number
201-353-9000
Fax Number
201-530-0002
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 27, 2007
Last Update Date
March 11, 2024
Certification Date
March 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 Palisade Ave
First Floor
Teaneck, NJ 07666-3144
Zip
07666-3144
Phone Number
201-353-9000
Fax Number
201-530-0002
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
3 University Plz Ste 205
Hackensack, NJ 07601-6208
City
Hackensack
State
NJ
Zip
07601-6208
Phone Number
201-833-3000

License Information

License Number
25MP00041700
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David J Penn, PA?

The NPI number of David J Penn, PA is 1578682241. It was assigned on March 27, 2007 and is currently active in the NPPES registry.

What is the specialty of David J Penn, PA?

David J Penn, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00041700.

Where does David J Penn, PA practice?

The practice location is 730 Palisade Ave, First Floor, Teaneck, NJ 07666-3144. The office can be reached at 201-353-9000 (phone) or 201-530-0002 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578682241 directly on the NPPES registry website.

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