Basic Information
| Provider Information | |||||||||
| NPI: | 1609847730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURTEL | ||||||||
| FirstName: | PENNY | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1907 HIGHWAY 35 | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | OAKHURST | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077552765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325170060 | ||||||||
| FaxNumber: | 7325487408 | ||||||||
| Practice Location | |||||||||
| Address1: | 1907 HIGHWAY 35 | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | OAKHURST | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077552765 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325170060 | ||||||||
| FaxNumber: | 7325487408 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2006 | ||||||||
| LastUpdateDate: | 03/31/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | BT3359052 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 222770 | 01 | NJ | PHCS PROVIDER | OTHER | 0518878000 | 01 | NJ | AMERIHEALTH INS | OTHER | 100004694 | 01 | NJ | RAILROAD MEDICARE | OTHER | Z499984 | 01 | NJ | GHI | OTHER | 222921463 | 01 | NJ | BCBS PROVIDER # | OTHER | 4431404 | 01 | NJ | CIGNA PROVIDER # | OTHER | 5015405 | 05 | NJ | MEDICAID | MS117 | 01 | NJ | OXFORD PROVIDER | OTHER | 114561 | 01 | NJ | CHN PROVIDER | OTHER | OK9226 | 01 | NJ | HEALTHNET | OTHER |