Active NPI
Jesus Pena, MD
- Psychiatry Physician
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA06646500
- Practice address
- 655 E Jersey St
Elizabeth, NJ 07206-1259 - Phone
- (908) 994-5000
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA66465 | NJ | |
| Psychiatry Physician | 2084P0800X | 25MA06646500 | NJ | Primary |
Addresses
Primary practice location
655 E Jersey St
Elizabeth, NJ 07206-1259
Mailing address
225 Williamson St
Physician Billing
Elizabeth, NJ 07202-3625
Phone (908) 994-8068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20110526000416 | NJ | Practitioner - Psychiatry | 0244417343 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Barnabas Health Medical Group, PC
Practice addresses (Care Compare)
1 Robert Wood Johnson Place
New Brunswick, NJ 08901-1928
Phone (800) 300-0628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06646500 | NJ | MD | Psychiatry Physician |
| MA66465 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinitas Regional Medical Center | Current | Accepting new patients | |
| Barnabas Health Medical Group, PC | Current | Accepting new patients | |
| Bleuler Psychotherapy Center, Inc. | Past | Accepting new patients | |
| Queens County Neuropsychiatric Institute Inc. | Past | Accepting new patients |
Locations
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
655 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7925
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bleulerpc/r4/
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Forest Hills, NY
- NPI 1801949706
-
- Community/Behavioral Health Agency
- Jackson HTS, NY
- NPI 1306906243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1174596498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"address_2": "PHYSICIAN BILLING",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-994-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E JERSEY ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072061259",
"telephone_number": "908-994-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "JESUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA66465",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06646500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.