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

Michael Craig Penchuk, DPM

Individual provider Podiatrist · NPI 1336232719

Michael Craig Penchuk, DPM is a Podiatry in Merrick, New York. Graduated from Temple University School of Podiatric Medicine in 1991, 35 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
35
Trained at
Temple University School of Podiatric Medicine
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2125 Holland Way
Merrick, NY 11566-5421
Phone: (516) 771-7090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 005080 (NY)
Podiatrist Taxonomy 213E00000X · Licence 25MD00225600 (NJ)

Record details

NPI number1336232719
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2125 Holland Way, Merrick, NY 11566-5421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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