Active NPI
Jose Manuel Pena, M.D.
- Psychiatry Physician
- New Orleans, LA
National Provider Identifier
1356441125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.015990
- Practice address
- 1430 Tulane Ave
Dept. of Psychiatry, Tulane Som
New Orleans, LA 70112 - Phone
- (504) 988-5405
- Fax
- (504) 988-6531
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD.015990 | LA | Primary |
Addresses
Primary practice location
1430 Tulane Ave
Dept. of Psychiatry, Tulane Som
New Orleans, LA 70112
Mailing address
625 St. Charles Ave
#10E
New Orleans, LA 70130
Phone (504) 524-3653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.015990 | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1356441125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ST. CHARLES AVE",
"address_2": "#10E",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70130",
"telephone_number": "504-524-3653",
"fax_number": "504-524-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TULANE AVE",
"address_2": "DEPT. OF PSYCHIATRY, TULANE SOM",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-988-5405",
"fax_number": "504-988-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "JOSE",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD.015990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.