Dr. Deane A Penn , MD
Specialist • Fort Lee, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Deane Penn has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Deane Penn, MD was a registered Specialist practicing in Fort Lee, NJ. Throughout an active medical career spanning 15 years, Dr. Penn provided care at the practice location at 1600 PARKER AVE until profile deactivation on 2021-06-10.
Practice Location & Contact Primary Location
1600 Parker Ave
Fort Lee, NJ 070247050
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Fort Lee, NJ
Practicing in Fort Lee, NJ (1802 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
MACCCSLP
Pharmacist
Registered Pharmacist
Naturopath
Doctor of Naturopathic Medicine, Master of Science
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 10, 2021
NPI status registered as active in NPPES database
Registered at 1600 PARKER AVE, FORT LEE, NJ 070247050 (Tel: 2014612507)
Registered at 1600 PARKER AVE, FORT LEE, NJ 070247050 (Tel: 2014612507)
Recorded as DEANE PENN, M.D.
Specialist (License #25MA02573000 in NJ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1600 Parker Ave
Fort Lee, NJ 070247050
Phone: 2014612507
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