NPIMap

Individual provider Active NPI

Peter Mena, M.D.

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1427444280
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD470420 Issued in PA
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-9316
Phone
(214) 645-7237
NPI assigned
Apr 8, 2015
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD470420 PA Primary
Diagnostic Radiology Physician 2085R0202X 25MA11328500 NJ
Diagnostic Radiology Physician 2085R0202X 324160 LA
Vascular & Interventional Radiology Physician 2085R0204X 25MA11328500 NJ

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-9316

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-9316
Phone (214) 645-7237

Other practice location 1

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 294-2934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220125002226 NJ Practitioner - Diagnostic Radiology 5193117182 Reassigns benefits to 8 organizations
I20231116002033 NY Practitioner - Interventional Radiology 5193117182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amboy Medical Practice PCGroup PAC ID 2860538170, shared by 2 NPIs, 171 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians

Practice addresses (Care Compare)

2 Jockey Hollow CT
Holmdel, NJ 07733-1824
Phone (718) 818-1234

240 Wood LN
Haddonfield, NJ 08033-1423
Phone (281) 742-0469

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234

901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537
Phone (732) 294-2934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
324160LAMDDiagnostic Radiology Physician
MD470420PAMDDiagnostic Radiology Physician
25MA11328500NJMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Health Village Imaging, LLC CurrentSince Jul 1, 2022 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
Advanced Radiology Solutions Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 13, 2024 Accepting new patients
Amboy Medical Practice PC CurrentSince Sep 1, 2024 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
3G Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

135 Commerce Way
Fl 2
Portsmouth, NH 03801

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

27 S Cooks Bridge Rd
Ste 1-6
Jackson, NJ 08527
Phone (732) 497-1200

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

914 Haven Ave
Ocean City, NJ 08226
Phone (609) 391-8105

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1975 State Route 34
Wall Township, NJ 07719
Phone (732) 974-8060

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1000 South Ave
Ste LL3
Staten Island, NY 10314
Phone (646) 605-8114

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

360 Bard Ave
Lowr
Staten Island, NY 10310
Phone (718) 818-2186

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Interoperability endpoints

  • Direct secure messaging: pmena110521@direct.phhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1427444280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909316",
            "telephone_number": "214-645-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909316",
            "telephone_number": "214-645-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Main St",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282537",
            "country_code": "US",
            "telephone_number": "732-294-2934",
            "fax_number": "732-290-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENA",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD470420",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11328500",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "324160",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA11328500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.