MEDICARE: JASON PENZER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	207364	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548245319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON PENZER MD

Provider Business Mailing Address
First Line	:	515 MADISON AVE
Second Line	:	SUITE 705
City	:	NEW YORK
State	:	NY
Zip	:	10022-5403
Country	:	US
Telephone Number	:	212-675-2997
Fax Number	:	212-627-8389

Provider Business Practice Location Address
First Line	:	515 MADISON AVE
Second Line	:	SUITE 705
City	:	NEW YORK
State	:	NY
Zip	:	10022-5403
Country	:	US
Telephone Number	:	212-675-2997
Fax Number	:	212-627-8389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	08/14/2024

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1134707912 — DR. CHRISTIAN STEPHEN MONSALVE M.D.
Practice Location Address:

515 MADISON AVE STE 8180
NEW YORK, NY
10022-5403

Practice Phone: 212-540-6808
Practice Fax: 202-618-5335

1013992007 — DR. MARIS K MARGULIES PHD
Practice Location Address:

515 MADISON AVE , SUITE 2302
NEW YORK, NY
10022-5403

Practice Phone: 212-755-5100
Practice Fax: 718-224-8395

1730169889 — BRUCE GINGOLD MD
Practice Location Address:

515 MADISON AVE , SUITE 705
NEW YORK, NY
10022-5403

Practice Phone: 212-675-2997
Practice Fax: 212-627-8389

1992763551 — GARY P GUERRIERO P.T.
Practice Location Address:

515 MADISON AVE , FLOOR 3
NEW YORK, NY
10022-5403

Practice Phone: 212-355-8440
Practice Fax: 212-355-8439

1710927876 — DR. SIRI R SMITH DC
Practice Location Address:

515 MADISON AVE FL 6
NEW YORK, NY
10022-5403

Practice Phone: 212-752-6770
Practice Fax: 212-754-0369

Directions to “ JASON PENZER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.