Joseph Edward Pena, M.D

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

216748-1 Issued in NY

Practice address

8 Corporate Center Dr
Suite 101
Melville, NY 11747-3193

Phone

(631) 752-0606

Fax

(631) 752-0623

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Coast Fertility, P.C.

  • Reproductive Endocrinology Physician
  • West Islip, NY
  • NPI 1699934653
  NPD (past)
• Long Island Fertility & Endocrinology Assoc., PC

  • Ambulatory Fertility Facility
  • Melville, NY
  • NPI 1467780072
  NPD (past)
• Long Island Fertility, PLLC

  • Reproductive Endocrinology Physician
  • Melville, NY
  • NPI 1376828426
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1386769289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WATERVILLE RD",
            "address_2": "INVITRO SCIENCES, INC",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012066",
            "telephone_number": "860-678-3428",
            "fax_number": "860-284-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CORPORATE CENTER DR",
            "address_2": "SUITE 101",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473193",
            "telephone_number": "631-752-0606",
            "fax_number": "631-752-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "216748-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "216748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher John Pedota
• Kerrie Ann Pelan, LCSW
• Alissa Pellegrino, M.S.
• Maria Antonella Pellegrino
• Zaire Yuralis Pena Espinal
• Melinda Zuelai Pena
• Madison Olivia Pendola
• Dolores Lephila Penn
• Martha Maria Peralta
• Alexzandra Perez

• Reproductive Endocrinology Physician in Melville, NY
• Providers in Melville, NY by specialty
• Reproductive Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.