Active NPI
Daphne Pineda, M.D.
- Neonatal-Perinatal Medicine Physician
- New Brunswick, NJ
National Provider Identifier
1104351899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 163717
- Practice address
- 254 Easton Ave
New Brunswick, NJ 08901-1766 - Phone
- (732) 745-8600
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 163717 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
254 Easton Ave
New Brunswick, NJ 08901-1766
Mailing address
4232 Andover Cay Blvd
Orlando, FL 32825-2707
Other practice location 1
83 W Miller St
Orlando, FL 32806-2031
Phone (321) 843-9792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200729000598 | GA | Order and Referring Only - Pediatric Medicine | 0042635773 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163717 | FL | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1104351899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4232 ANDOVER CAY BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328252707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 EASTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011766",
"telephone_number": "732-745-8600"
}
],
"practiceLocations": [
{
"address_1": "83 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062031",
"country_code": "US",
"telephone_number": "321-843-9792",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINEDA",
"first_name": "DAPHNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "163717",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.