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Active NPI 1982287538 Individual Practitioner Male Practitioner

Matthew Vance Pennacchia

Physician Assistant • Orange, CT

Professional Overview & Biography Verified Profile Summary

Matthew Pennacchia is a registered healthcare professional specializing in Physician Assistant in Orange, CT. Practice services are available at 521 BOSTON POST RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

521 Boston Post Rd

Orange, CT 064773506

Telephone 2035293271
Associated Practice Facility / Clinic
🏢 Urgent Care Of Orange, Llc Facility NPI 1962878363

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Orange, CT (2065 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 5310

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ava Milom , NP

Nurse Practitioner

NPI 1437623550

Nurse Practitioner

NPI 1821232034

Doctor of Medicine (M.D.)

Dr. James Marshall , DO

Internal Medicine

NPI 1871597310

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 12, 2021

Registered at 521 BOSTON POST RD, ORANGE, CT 064773506 (Tel: 2035293271)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Physician Assistant (License #5310 in CT)

NPI Profile Active May 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2021

Registered at 1700 BROADBRIDGE AVE UNIT B27, STRATFORD, CT 066145493 (Tel: 2037223028)

📍
Updated Business Mailing Address May 02, 2021

Registered at 1700 BROADBRIDGE AVE UNIT B27, STRATFORD, CT 066145493 (Tel: 2037223028)

👤
Provider Name / Credentials Updated May 02, 2021

Recorded as MATTHEW PENNACCHIA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982287538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2021
Last Update: October 11, 2021
Sole Proprietor: Yes

Mailing Address

1700 Broadbridge Ave Unit B27

Stratford, CT 066145493

Phone: 2037223028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.