S Desiderio Penso, MD, CMD is a
Surgery physician based in Pleasantville, New Jersey. S Desiderio Penso is licensed to practice in New Jersey (license number 28628) and his current practice location is 1005 N Main St, Pleasantville, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(609) 645-3333.
NPI number for S Desiderio Penso is 1376671909 and his current mailing address is 1100 Clematis Avenue, Pleasantville, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376671909.
Physician's Profile
Full Name | S Desiderio Penso |
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Gender | Male |
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Speciality | Surgery |
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Location | 1005 N Main St, Pleasantville, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376671909
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 07/26/2010
Medical Identifiers
Medical identifiers for S Desiderio Penso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376671909 | NPI | - | NPPES |
3234100 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 28628 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. S Desiderio Penso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
S Desiderio Penso, MD, CMD 1100 Clematis Avenue, Pleasantville, NJ 08232-1125 Ph: (609) 677-6344 | S Desiderio Penso, MD, CMD 1005 N Main St, Pleasantville, NJ 08232-1125 Ph: (609) 645-3333 |
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