Active NPI
Joseph Albert Pena, M.D.
- Specialist
- Paterson, NJ
National Provider Identifier
1033112115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 43473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1432001 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 43473 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algology Associates, P.C. | Specialist | Past | 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 | Past | Accepting new patients |
| Anesthesia Consultants, LLC | Specialist | Past | Accepting new patients |
| Sparta Anesthesia Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
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- Specialist
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- NPI 1275537631
-
- Specialist
- Denville, NJ
- NPI 1821094293
-
- Specialist
- Paterson, NJ
- NPI 1568465979
-
- Anesthesiology Physician
- Hackettstown, NJ
- NPI 1346408044
-
- Anesthesiology Physician
- Sparta, NJ
- NPI 1861663544
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.