Provider Demographics
NPI:1609847730
Name:TURTEL, PENNY S (MD)
Entity Type:Individual
Prefix:DR
First Name:PENNY
Middle Name:S
Last Name:TURTEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 HIGHWAY 35
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2765
Mailing Address - Country:US
Mailing Address - Phone:732-517-0060
Mailing Address - Fax:732-548-7408
Practice Address - Street 1:1907 HIGHWAY 35
Practice Address - Street 2:SUITE 1
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2765
Practice Address - Country:US
Practice Address - Phone:732-517-0060
Practice Address - Fax:732-548-7408
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJBT3359052207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222770OtherPHCS PROVIDER
NJ0518878000OtherAMERIHEALTH INS
NJ100004694OtherRAILROAD MEDICARE
NJZ499984OtherGHI
NJ222921463OtherBCBS PROVIDER #
NJ4431404OtherCIGNA PROVIDER #
NJ5015405Medicaid
NJMS117OtherOXFORD PROVIDER
NJ114561OtherCHN PROVIDER
NJOK9226OtherHEALTHNET
NJ222770OtherPHCS PROVIDER
NJ5015405Medicaid