DR. OWANO M PENNYCOOKE (NPI# 1013150267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013150267 |
| Entity Type | Individual |
| Full Name | DR. OWANO M PENNYCOOKE |
| Credential | MD |
| Practice Address |
241 Monmouth Rd West Long Branch NJ 07764-1177 |
| Mailing Address |
206 Hidden Dr Blackwood NJ 08012-4432 |
| Practice Telephone | 7324032075 |
| Mailing Telephone | 8563138849 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MA08547000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA08547000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
241 MONMOUTH RD |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093798571 | Robert L Carracino | Internal Medicine | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2005-11-29 |
| 1053762724 | Jersey Shore Ophthalmology Retina Consultants, LLC | Ophthalmology | 241 Monmouth Rd, Suite 102, West Long Branch, NJ 07764-1177 | 2016-06-23 |
| 1093051443 | Laine Elizabeth Hickey | Physical Therapist | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2012-12-12 |
| 1689992968 | Christopher G. Pierson, M.d., LLC | Specialist | 241 Monmouth Rd, Suite 202, West Long Branch, NJ 07764-1177 | 2010-05-11 |
| 1538303656 | Eye and Face LLC | Optometrist | 241 Monmouth Rd, Suite 103, West Long Branch, NJ 07764-1177 | 2009-04-21 |
| 1801057781 | Isaac Ezon | Ophthalmology | 241 Monmouth Rd, Suite 102, West Long Branch, NJ 07764-1177 | 2008-06-23 |
| 1003971102 | Stephen Kolakowski Jr. | Surgery | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2006-12-27 |
| 1124066709 | Wlb Medical Associates, P.C. | Internal Medicine | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2006-06-03 |
| 1487626131 | Margaret M Bartley | Clinical Nurse Specialist | 241 Monmouth Rd, West Long Branch, NJ 07764-1177 | 2006-02-06 |
| 1447239959 | Henry Ernest Sprance | Obstetrics & Gynecology | 241 Monmouth Rd, Suite 101, West Long Branch, NJ 07764-1177 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WEST LONG BRANCH |
| Zip Code | 07764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.