DR. MICHAEL JOSEPH PENKIN DC
NPI 1063852390
Chiropractor in Rochester, NY

Q: What is Michael Penkin's NPI number?

The NPI number for Michael Penkin is 1063852390. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Q: What is Michael Penkin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Penkin was last updated on February 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2013PECOS Enrolled

1655 ELMWOOD AVE, SUITE 235, ROCHESTER, NY 14620(585) 444-7325(585) 991-6656 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael Joseph Penkin Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JOSEPH PENKIN DC (NPI 1063852390) is an individual chiropractor in Rochester, New York, licensed in New York (012367-1) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of New York Chiropractic College (2013).

NPPES Registry Identity

NPI1063852390

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. MICHAEL JOSEPH PENKINCredential: DC

Location Address1655 ELMWOOD AVE, SUITE 235Rochester, NY 14620-3429

Mailing Address1655 Elmwood Ave, Suite 235Rochester, NY 14620-3429 · (585) 444-7325 · Fax (585) 991-6656

Phone(585) 444-7325

Fax(585) 991-6656

Sole ProprietorNo

Medical School CMSNew York Chiropractic CollegeGraduated 2013

Enumeration DateJuly 1, 2013

Last NPPES UpdateFebruary 2, 2017

✔ NPI 1063852390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · 012367-1

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1655 ELMWOOD AVE, Rochester, NY 14620

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Joseph Penkin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587895008

PECOS Enrollment IDI20140326002296

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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