Individual provider Active NPI

Joseph Albert Pena, M.D.

  • Specialist
  • Paterson, NJ
National Provider Identifier
1033112115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA 43473 Issued in NJ
Practice address
680 Broadway
Barnert Hospital Anesthesia Dept
Paterson, NJ 07514-1422
Phone
(201) 339-1700
Fax
(201) 339-6972
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA 43473 NJ Primary

Addresses

Primary practice location

680 Broadway
Barnert Hospital Anesthesia Dept
Paterson, NJ 07514-1422

Mailing address

PO Box 79
Bayonne, NJ 07002-0079
Phone (201) 339-1700

Other identifiers 1

IdentifierTypeStateIssuer
1432001MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA 43473NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Algology Associates, P.C. Specialist PastSince Jun 1, 2007 Accepting new patients
Emmaus Anesthesia Associates LLC Past Accepting new patients
County Wide Anesthesia Group, LLC Specialist Past Accepting new patients
Consultants of Ambulatory Anesthesia, LLC Specialist PastSince Feb 15, 2014 Accepting new patients
Anesthesia Consultants, LLC Specialist Past Accepting new patients
Sparta Anesthesia Associates, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAADD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033112115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070020079",
            "telephone_number": "201-339-1700",
            "fax_number": "201-339-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "address_2": "BARNERT HOSPITAL ANESTHESIA DEPT",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141422",
            "telephone_number": "201-339-1700",
            "fax_number": "201-339-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JOSEPH",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA 43473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.