IndividualActive
John Penner, RN LIC#708932-1
NPI 1285477273 · Registered Nurse · Malvern, NY
Provider details
- NPI number
- 1285477273
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN LIC#708932-1
- Sex
- Male
- Sole proprietor
- Yes
- License
- 408932-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
189 Rolling Street
Malvern, NY 11565
Phone: (516) 599-0643
Street-level locationGet directions
Mailing address
189 Rolling St.
Malvern, NY 11565
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.