Carolin T Penrose


Address: 1110 S Ave, Suite 400, Staten Island, NY 10314-3411

Carolin T Penrose (NPI# 1790946655, PAC ID# 6507038213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1790946655
PAC ID by PECOS 6507038213
Professional Enrollment ID I20110930000225
Full Name Carolin T Penrose
Address 1110 S Ave
Suite 400
Staten Island
NY 10314-3411
Gender F
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 2006
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1110 S Ave, Suite 400, Staten Island, NY 10314-3411

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 68%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 68%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_265_overall Biopsy Follow-Up 100%
MIPS_EC_265_overall Biopsy Follow-Up 100%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 67%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 67%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 97%
MIPS_EC_431_overall Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 97%

Organization Information

Office Location

Street Address 1110 S AVE
SUITE 400
City STATEN ISLAND
State NY
Zip 10314-3411

Physicians in the same location

Name Specialty Organization Address
Stephen J Wakschal Psychologist, Clinical 1110 S Ave, Suite 62, Staten Island, NY 10314-3403
Jacqueline Shall Mccumiskey Psychologist, Clinical Cognitive Therapy If Si Pysch Svcs and Lic Mental Health Counselor Pll 1110 S Ave, Suite 5, Staten Island, NY 10314-3403
Constance J Salhany Psychologist, Clinical Cognitive Therapy If Si Pysch Svcs and Lic Mental Health Counselor Pll 1110 S Ave, Suite 5, Staten Island, NY 10314-3403
Victoria A Nichols Psychologist, Clinical Cognitive Therapy If Si Pysch Svcs and Lic Mental Health Counselor Pll 1110 S Ave, Suite 5, Staten Island, NY 10314-3403
Michele Cammarata Family Medicine Physicians of University Hospital PC 1110 S Ave, Suite 305, Staten Island, NY 10314-3414
Robert M Gallagher Clinical Social Worker 1110 S Ave, Suite 46, Staten Island, NY 10314-3403
Jennifer R Feretic Clinical Psychologist Cognitive Therapy If Si Pysch Svcs and Lic Mental Health Counselor Pll 1110 S Ave, Suite 5, Staten Island, NY 10314-3403

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Name Specialty Organization Address
Amanda L Rotondo Physical Therapy 1592 Richmond Ave, Staten Island, NY 10314-1529
Jane M Ponterio Obstetrics/gynecology Ponterio and Pessolano Md PC 1583 Richmond Ave, Staten Island, NY 10314-1530
Tatyana Uvatov Podiatry 1468 Richmond Ave, Staten Island, NY 10314-1550
Cristopher Santos Physical Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Larry Bernard Hoffman Physical Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Florine Smolenski Occupational Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Giovanni Templo Physical Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Ebony Imani Pollock Occupational Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Chelsea Leroy Qualified Speech Language Pathologist Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Francis Lloyd O Regis Physical Therapy Fox Rehabilitation Physical Therapy Services LLC 1415 Richmond Ave, Staten Island, NY 10314-1553
Find all physicians in zip 10314

Competitor

Search similar physicians

City STATEN ISLAND
Zip Code 10314
Specialty DERMATOLOGY
City + Specialty STATEN ISLAND + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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