Yomaris Mercedes Pena Pena, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

254371 Issued in NY

Practice address

201 Wadsworth Ave
Unit GD3
New York, NY 10033-3862

Phone

(646) 595-9063

NPI assigned

Aug 29, 2008

Last updated

Feb 21, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDCBCA
• FHIR API: https://fhir4.healow.com/fhir/r4/BDCBCA/Endpoint/BDCBCA

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.

• Ypp New Modern Medicine PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1841539657
  Medicare reassignment NPD Authorized official
• Broadway I Medicine PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1740504240
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1457509762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH AVE",
            "address_2": "UNIT GD3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333862",
            "telephone_number": "646-595-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WADSWORTH AVE",
            "address_2": "UNIT GD3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333862",
            "telephone_number": "646-595-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA PENA",
        "first_name": "YOMARIS",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura H. Pemberton, R.N.
• Shana Pembroke
• Avigdor Pemper, L.P.
• Pen Optical and Associates Inc.
• Camila Juliet Pena Batista, LMSW
• Diego Alfonso Pena-Medina
• Francia Pena-Vasquez
• Ana Amarily Pena-Velez, TEACHER
• Alexa Pena, LCSW
• Ana Griselda Pena

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.