Yadira Pena, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

157231 Issued in NY

Practice address

500 W Main St Ste 116
Babylon, NY 11702

Phone

(631) 422-6166

Fax

(631) 422-6266

NPI assigned

Oct 8, 2012

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

Medicare fee-for-service enrollment

Enrolled in NY, NJ, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Spine and Pain PCGroup PAC ID 4688045537, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Modern Spine and Pain PC

  • Pain Medicine Physician
  • West Deptford, NJ
  • NPI 1174240352
  Medicare reassignment Care Compare group
• New York Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Babylon, NY
  • NPI 1639190630
  Medicare reassignment NPD
• Comprehensive Pain Management Specialists , LLC

  • Interventional Pain Medicine Physician
  • Wilkes Barre, PA
  • NPI 1841591211
  Medicare reassignment
• New York Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Harrison, NY
  • NPI 1528617917
  NPD
• Pain Control Associates, PC

  • Interventional Pain Medicine Physician
  • Turnersville, NJ
  • NPI 1538619580
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1093067514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, SUITE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "410-329-1071",
            "fax_number": "410-329-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST STE 116",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-422-6166",
            "fax_number": "631-422-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "YADIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "157231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Papuzinska, DDS
• Lisa Parker, M.S ED
• Paul Arena PT PC
• Molly Sara Peck, LMT
• Pedro H. Calves, M.D. P.C.
• Brian Christopher Penta
• Alice Mary Peplinski, MS
• Robert Perdue, P.A.
• Physical Therapy Care, PC
• Physicians Independant Practioners Association

• Physician Assistant in Babylon, NY
• Providers in Babylon, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.

Verify at the official NPI Registry.