Melissa Pena

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4277 65TH PL
Woodside, NY 11377-5054

Phone

(718) 429-2000

Fax

(718) 334-0057

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1447616008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 72ND PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781516",
            "telephone_number": "917-604-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 65TH PL",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775054",
            "telephone_number": "718-429-2000",
            "fax_number": "718-334-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aris Rafael Peguero
• Kumari Hope Peiris
• Alexandra Pelaez, LMFT
• Robert Vincent Pena Diaz, MS.ED
• Crystal Pena, PTA
• Khea Mel Estorninos Perales, PTA
• Peralta Primary Care P.C.
• Marina C Peralta, BSN, RN, CCTN
• Cynthia Perez, MSED
• Jerry A Perez, CCC-SLP

• Case Manager/Care Coordinator in Woodside, NY
• Providers in Woodside, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.