Penrose Dermatology PLLC
NPI 1346601333 · Medical Specialty Clinic/Center · Staten Island, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penrose Dermatology PLLC is a Medical Specialty Clinic/Center organization in Staten Island, NY (NPI 1346601333).
Provider details
- NPI number
- 1346601333
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolin Penrose, Dermatologist(917) 620-4421
- License
- 245597-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2016-06-28
Frequently asked questions
- What is Penrose Dermatology PLLC's NPI number?
- Penrose Dermatology PLLC's National Provider Identifier (NPI) is 1346601333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penrose Dermatology PLLC?
- Penrose Dermatology PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Penrose Dermatology PLLC located?
- Penrose Dermatology PLLC's practice location on file with NPPES is 1110 South Ave, Staten Island, NY 10314-3403.
- What is Penrose Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Penrose Dermatology PLLC is (917) 830-1415.
- Does Penrose Dermatology PLLC accept Medicare?
- Penrose Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Penrose Dermatology PLLC?
- The authorized official listed on Penrose Dermatology PLLC's NPPES record is Carolin Penrose, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penrose Dermatology PLLC's NPI active?
- Yes — Penrose Dermatology PLLC's NPI (1346601333) is active in the NPPES registry as of the last update on 2016-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.