John Penek (NPI# 1417996562, PAC ID# 6507969813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1417996562 |
| PAC ID by PECOS | 6507969813 |
| Professional Enrollment ID | I20070307000072 |
| Full Name | John Penek |
| Address |
1069 Ringwood Ave Suite 301 5 Haskell NJ 07420-1408 |
| Phone Number | 9736169500 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1971 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310017 | CHILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1069 Ringwood Ave, Suite 301 5, Haskell, NJ 07420-1408 | 9736169500 |
| Street Address |
1069 RINGWOOD AVE SUITE 301 5 |
| City | HASKELL |
| State | NJ |
| Zip | 07420-1408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Benetatos | Optometry | 1069 Ringwood Ave, Suite 106, Haskell, NJ 07420-1451 | |
| Takako Komatsuzaki | Nurse Practitioner | Newbridge Services Inc | 1069 Ringwood Ave, Suite 301, Haskell, NJ 07420-1452 |
| Karin B Williams | Clinical Social Worker | Newbridge Services Inc | 1069 Ringwood Ave, Suite 202, Haskell, NJ 07420-1451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fritzie Ann Penales-cempron | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Charleston Cempron | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Maria Tanis | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Bradley Jude Bacanaya | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Kerry Ann Iamurri | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Cathy Rutella | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Arcellie Adriano | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Djhoana S Montemayor-mateo | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
| Jeffrey T Smith | Internal Medicine | 1141 Ringwood Ave, Suite 7, Haskell, NJ 07420-1565 |
| City | HASKELL |
| Zip Code | 07420 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | HASKELL + GENERAL PRACTICE |
Please comment or provide details below to improve the information on John Penek.
| 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.