KATHERINE PENBERTHY


Address: 430 S Broadway, Gloucester City, NJ 08030
Phone: 8564560518

KATHERINE PENBERTHY (NPI# 1255420667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255420667
Entity Type Individual
Full Name KATHERINE PENBERTHY
Credential M.D.
Practice Address 430 S Broadway
Gloucester City
NJ 08030
Mailing Address 1 Federal St # 200
Camden
NJ 08103-1088
Practice Telephone 8564560518
Mailing Telephone 8563564924
Enumeration Date 2006-10-12
Last Update Date 2019-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine MA077687 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ HORIZON NJ HEALTH 60018543 01
NJ HEALTHNET, INC 3K6217 01
NJ UNIVERSITY HEALTH PLAN 42477 01
NJ AMERIHEALTH/KEYSTONE/IBC 2430550000 01
NJ UNITED HEALTHCARE 2566179 01
NJ AETNA 3949355 01
NJ RR MEDICARE P00278714 01
NJ 0070106 05
NJ AMERICHOICE 010007469 01
NJ AMERIHEALTH PPO/PABS 1764618 01
NJ CIGNA 8397292 01
NJ OXFORD P3658002 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
14 S Broadway, Gloucester City, NJ 080301706 8563564800 8563564793

Office Location

Street Address 430 S BROADWAY
City GLOUCESTER CITY
State NJ
Zip Code 08030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144549395 Alvin Zeises Pharmacist 702 Browning Rd, Brooklawn, NJ 08030 2010-05-27
1750554382 Barry Kardos Psychologist 15 South Sussex St, Gloucester City, NJ 08030 2008-04-03
1093933004 Cooper Physician Offices Internal Medicine 14 South Broadway, Gloucester City, NJ 08030 2007-04-23
1609090216 Andrew Edward Herman Chiropractor 357 Greenwood At Market, Gloucester City, NJ 08030 2007-04-13
1770622409 Browns Brooklawn Inc Pharmacy Rte 130 and Browning Rd, Brooklawn, NJ 08030 2007-02-06
1386728814 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 455 South Broadway, Gloucester City, NJ 08030 2006-10-24
1457790263 Joann Colman Nurse Practitioner 1017 Market St, Gloucester, NJ 08030 2013-06-14
1568781979 Richard Stephan Rubin Pharmacist 702 Browning Rd, Brooklawn, NJ 08030 2010-05-25
1003327388 My Father's House, Inc Counselor Po Box 230, Gloucester City, NJ 08030-0230 2017-10-13
1972676716 Steven Klein Family Medicine 104 S Broadway, Gloucester City, NJ 08030-0389 2006-11-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093933004 Cooper Physician Offices Internal Medicine 14 South Broadway, Gloucester City, NJ 08030 2007-04-23
1346335023 Daniel J Hyman Internal Medicine 14 S Broadway, Gloucester City, NJ 08030-1706 2006-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760080196 Shaker Medical Group-hospitalists LLC Internal Medicine 155 Polifly Rd Ste 301, Hackensack, NJ 07601-1749 2020-10-16
1770180135 Shama Patel Internal Medicine 760 Bound Brook Rd Ste A, Dunellen, NJ 08812-1079 2020-10-07
1174130835 Dmm Medical Consulting Group Internal Medicine 4551 Route 42 Ste 3, Turnersville, NJ 08012-1751 2020-09-28
1437764859 Edward Laub Md LLC Internal Medicine 2053 Klockner Rd, Trenton, NJ 08690-3413 2020-09-11
1285245076 Wecare Medical Associates LLC Internal Medicine 19 Holly St Ste 2, Cranford, NJ 07016-2158 2020-08-14
1851902803 Acute Medical Staffing Internal Medicine 197 State Route 18 Ste 3000, East Brunswick, NJ 08816-1440 2020-08-13
1992313746 Advocare, LLC Internal Medicine 750 Route 73 S Ste 201a, Marlton, NJ 08053-4133 2020-07-17
1295353126 Navneet Kaur Goraya Internal Medicine 8 Netter Ct, Marlboro, NJ 07746-2055 2020-07-07
1699390203 Mehul Patel Internal Medicine 560 Sullivan Ave, Englewood Cliffs, NJ 07632-3119 2020-06-09
1922622133 Hope Hematology & Oncology Associates LLC Internal Medicine 1477 Oak Tree Rd, Iselin, NJ 08830-1625 2020-06-03
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Competitor

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City GLOUCESTER CITY
Zip Code 08030

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Dataset Information

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.

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