Active NPI
Passaic County
- Diagnostic Radiology Physician
- Paterson, NJ
National Provider Identifier
1417048471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA02636900
- Legal business name
- PASSAIC COUNTY
- Practice address
- 606 Broadway
Paterson, NJ 07514-1916 - Phone
- (973) 248-8818
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose R Sanchez Pena, M.D.
- Title
- Owner
- Phone
- (973) 278-8818
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA03887500 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA06761000 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA04523300 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | 25MA03585900 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA03585900 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA07405000 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA02636900 | NJ | Primary |
Addresses
Primary practice location
606 Broadway
Paterson, NJ 07514-1916
Mailing address
606 Broadway
Paterson, NJ 07514-1916
Phone (973) 248-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6846505 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Passaic County Integrated Healthcare
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Jersey City, NJ
- NPI 1285716118
-
- Cardiovascular Specialist/Technologist
- Paterson, NJ
- NPI 1356426159
-
- Diagnostic Radiology Physician
- Jersey City, NJ
- NPI 1104028299
-
- Pulmonary Disease Physician
- Passaic, NJ
- NPI 1689881690
-
- Pulmonary Disease Physician
- Jersey City, NJ
- NPI 1841407855
-
- Pulmonary Disease Physician
- Secaucus, NJ
- NPI 1790991487
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Case Management Agency
- Paterson, NJ
- NPI 1497992374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1417048471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141916",
"telephone_number": "973-248-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BROADWAY",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075141916",
"telephone_number": "973-248-8818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSAIC COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SANCHEZ PENA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-278-8818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03887500",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06761000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04523300",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA03585900",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA03585900",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA07405000",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02636900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6846505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.