Olga Pena-Ariet, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME45678 Issued in FL

Practice address

13595 Atlantic Blvd
Jacksonville, FL 32225-3256

Phone

(904) 221-4325

Fax

(904) 221-9167

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northeast Florida Pediatric Associates, P.a.

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1538211271
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1043315781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13595 ATLANTIC BLVD",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253256",
            "telephone_number": "904-727-5160",
            "fax_number": "904-724-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13595 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253256",
            "telephone_number": "904-221-4325",
            "fax_number": "904-221-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-ARIET",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME45678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "04497",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "4200425",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373312200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Pemberton
• Marvin Gene Pemberton Jr.
• Isaias Pena Fonseca
• Valeria Valentina Pena Sanchez
• Adriana Pena-Ariet, M.D
• Rodolfo Pena-Ariet, M.D.
• Javier Pena-Garzon
• Alejandro Pena Jr., MD
• Ashley Brandt Dickinson Pena, MD
• Eduardo Pena, IDHS

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.