Active NPI
Maria De Pena-Nowak, M.D.
- Child & Adolescent Psychiatry Physician
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 226136
- Practice address
- 21 Bloomingdale Rd
White Plains, NY 10605-1504 - Phone
- (914) 997-5904
- Fax
- (914) 682-9100
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 226136 | NY | Primary |
Addresses
Primary practice location
21 Bloomingdale Rd
White Plains, NY 10605-1504
Mailing address
404 Midland Ave
Rye, NY 10580-3943
Phone (914) 921-1098
Other names 1
- Dr. Maria Dolores De Pena
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (914) 682-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York and Presbyterian Hosp | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
156 William St
New York, NY 10038
Phone (646) 962-4679
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600
50 Water St
Fl 3
New York, NY 10004
21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100
21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mdepena@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 9
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.
-
- Psychologist
- New York, NY
- NPI 1871692210
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Nutritionist
- New York, NY
- NPI 1891857025
-
- Psychiatry Physician
- New York, NY
- NPI 1912173329
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Psychiatric Hospital
- New York, NY
- NPI 1770502635
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1043273956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MIDLAND AVE",
"city": "RYE",
"state": "NY",
"postal_code": "105803943",
"telephone_number": "914-921-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051504",
"telephone_number": "914-997-5904",
"fax_number": "914-682-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PENA-NOWAK",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "226136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "DE PENA",
"middle_name": "DOLORES",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.