BENJAMIN PENN
NPI 1417527649
Physician Assistant - Medical in Riverhead, NY

Q: What is Benjamin Penn's NPI number?

The NPI number for Benjamin Penn is 1417527649. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Q: What is Benjamin Penn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Penn was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2021PECOS Enrolled

170 OLD COUNTRY RD, RIVERHEAD, NY 11901(631) 208-4460 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Dec 21, 2022, Nov 28, 2022 and 1 more (4 updates tracked since 2021).

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About Benjamin Penn NPPES

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

BENJAMIN PENN (NPI 1417527649) is an individual medical provider in Riverhead, New York, licensed in New York (026947) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresh Meadows.

NPPES Registry Identity

NPI1417527649

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBENJAMIN PENN

Location Address170 OLD COUNTRY RDRiverhead, NY 11901-2198

Mailing Address170 Old Country RdRiverhead, NY 11901-2198 · (631) 208-4460

Phone(631) 208-4460

Sole ProprietorNo

Enumeration DateJune 29, 2021

Last NPPES UpdateFebruary 6, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1417527649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 026947

170 OLD COUNTRY RD, Riverhead, NY 11901

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Secondary Practice Location 1

Location 16136 170th St Apt M4Fresh Meadows, NY 11365-1957 · Phone (718) 709-0940

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Penn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,173 services166 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

902 services169 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

16 services15 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

14 services14 patients

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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