Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Penn

Individual provider Medical Physician Assistant · NPI 1417527649

Benjamin Penn is a Medical Physician Assistant in Riverhead, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

170 Old Country Rd
Riverhead, NY 11901-2198
Phone: (631) 208-4460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6136 170th St Apt M4, Fresh Meadows, NY 11365-1957 — (718) 709-0940

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 026947 (NY)

Record details

NPI number1417527649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address170 Old Country Rd, Riverhead, NY 11901-2198

Other providers in Riverhead