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JENNIFER W PENNOYER MD LLC
NPI 1841254653
Dermatology in Bloomfield, CT

Active since April 17, 2006CLIA 07D1070333 · Waiver
701 COTTAGE GROVE ROAD, E110, BLOOMFIELD, CT 06002(860) 243-3020(860) 243-3002 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer W Pennoyer Md Llc NPPES

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

JENNIFER W PENNOYER MD LLC (NPI 1841254653) is a healthcare organization registered as a dermatology in Bloomfield, Connecticut and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Jennifer White Pennoyer, Member, as its authorized official.

NPPES Registry Identity

NPI1841254653
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJENNIFER W PENNOYER MD LLC
Location Address701 COTTAGE GROVE ROAD, E110Bloomfield, CT 06002
Mailing Address701 Cottage Grove Road, E110Bloomfield, CT 06002 · (860) 243-3020 · Fax (860) 243-3002
Phone(860) 243-3020
Fax(860) 243-3002
Organization SubpartNo
Authorized OfficialJennifer White PennoyerMember · (860) 243-3020
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841254653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
701 COTTAGE GROVE ROAD, Bloomfield, CT 06002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer W Pennoyer Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jennifer W Pennoyer MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jennifer Pennoyer, M.D.
Dermatology
NPI 1982665725
47 JOLLEY DR
Bloomfield, CT 06002
(860) 243-3020
✔ PECOS✔ Accepts Medicare0.5 mi
Shivani Sinha, MD
Dermatology
NPI 1700521119
47 JOLLEY DR
Bloomfield, CT 06002
(860) 243-3020
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1070333

Jennifer W Pennoyer, MD, LLC · Bloomfield, CT
Active · expires Mar 24, 2028
CLIA Number07D1070333
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorJennifer W. Pennoyer, MD
Laboratory Phone(860) 243-3020
Laboratory LocationJennifer W Pennoyer, MD, LLC47 Jolley Dr, Bloomfield, CT 06002
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer W Pennoyer MD LLC's NPI number?

The NPI number for Jennifer W Pennoyer MD LLC is 1841254653. It was assigned to this organization in the NPPES registry on April 17, 2006.

Where is Jennifer W Pennoyer MD LLC located?

Jennifer W Pennoyer MD LLC is located at 701 Cottage Grove Road E110, Bloomfield, CT 06002. The listed phone number is (860) 243-3020.

What is Jennifer W Pennoyer MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jennifer W Pennoyer MD LLC enrolled in Medicare?

Yes. Jennifer W Pennoyer MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer W Pennoyer MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Jennifer W Pennoyer MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jennifer W Pennoyer MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1070333) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jennifer W Pennoyer MD LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer W Pennoyer MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer W Pennoyer MD LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.