Individual provider Active NPI

John Paulo Canlubo Penetrante, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Tenafly, NJ
National Provider Identifier
1376406538
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15476400 Issued in NJ
Practice address
2 Dean Dr
Tenafly, NJ 07670-2765
Phone
(201) 568-8288
NPI assigned
Dec 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15476400 NJ Primary

Addresses

Primary practice location

2 Dean Dr
Tenafly, NJ 07670-2765

Mailing address

35 Sunset Ave
Bayonne, NJ 07002-2209
Phone (551) 221-2414

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123002178 NJ Practitioner - Nurse Practitioner 0446737126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tenafly Psychiatric Associates LLCGroup PAC ID 1759345614, 10 clinicians

Practice addresses (Care Compare)

2 Dean Dr
Tenafly, NJ 07670-2765
Phone (201) 568-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15476400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Psychiatric Associates, L.L.C. CurrentSince Jan 1, 2026 Accepting new patients

Locations

2 Dean Dr
Fl 1
Tenafly, NJ 07670
Phone (201) 568-8288

2 Dean Dr
Tenafly, NJ 07670
Phone (201) 568-8288

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1376406538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUNSET AVE",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022209",
            "telephone_number": "551-221-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702765",
            "telephone_number": "201-568-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENETRANTE",
        "first_name": "JOHN PAULO",
        "middle_name": "CANLUBO",
        "credential": "PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-04",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15476400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.