Individual provider Active NPI

Jose R Sanchez-Pena, M.D.

  • Internal Medicine Physician
  • Paterson, NJ
National Provider Identifier
1316911282
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
42837 Issued in NJ
Practice address
583 Broadway
Paterson, NJ 07514-2517
Phone
(973) 653-5686
Fax
(201) 221-8255
NPI assigned
Feb 15, 2006
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 42837 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 42837 NJ
Pulmonary Disease Physician 207RP1001X 42837 NJ
Internal Medicine Physician 207R00000X 42837 NJ Primary

Addresses

Primary practice location

583 Broadway
Paterson, NJ 07514-2517

Mailing address

95 Crescent Dr
Ringwood, NJ 07456-1108
Phone (973) 278-8818

Other identifiers 3

IdentifierTypeStateIssuer
00836824MedicaidNY
6846505MedicaidNJ
0469807MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040128000200 NJ Practitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Geriatric Medicine 1658274774 Reassigns benefits to 1 organization
I20041102000184 NY Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Pulmonary DiseasePractitioner - Pain Management 1658274774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Pulmonary Disease, Sleep Medicine
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Medical Care at 3Rd Avenue PCGroup PAC ID 8527351485, 2 clinicians

Practice addresses (Care Compare)

12 -15 Broadway
Suite 2D
Fair Lawn, NJ 07410-2031
Phone (201) 773-9334

5407 5TH Ave
FL 1
Brooklyn, NY 11220-6405
Phone (718) 492-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42837NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Services PC Internal Medicine CurrentSince Feb 4, 2021 Accepting new patients
Pulmonary Solutions LLC Internal Medicine CurrentSince Feb 4, 2021 Accepting new patients
Urgent Medical Care@Hackensack Past Accepting new patients
Total Health Solutions PC Internal Medicine Past Accepting new patients
Cardiovascular Imaging Associates Past Accepting new patients
Advanced Medical Care NJ LLC Pulmonary Disease PastSince Jul 1, 2007 Accepting new patients
First Avenue Medical P C Pulmonary Disease PastSince Aug 1, 1983 Accepting new patients
Park Avenue Medicl Associates P.L.L.C Pulmonary Disease PastSince Mar 31, 2005 Accepting new patients
Passaic County Integrated Pulmonary Disease PastSince Jun 1, 2003 Accepting new patients
Parkway Medical PLLC Past Accepting new patients

Locations

12-15 Broadway
Ste 2D
Fair Lawn, NJ 07410
Phone (201) 773-9334

12-15 Broadway
Ste D
Fair Lawn, NJ 07410

12-15 Broadway
Ste D
Fair Lawn, NJ 07410

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jose.sanchez-pena@integratedmedicalservicespc.ehi.direct-ci.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1316911282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CRESCENT DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561108",
            "telephone_number": "973-278-8818",
            "fax_number": "201-221-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142517",
            "telephone_number": "973-653-5686",
            "fax_number": "201-221-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-PENA",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "42837",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "42837",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "42837",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "42837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00836824",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6846505",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.