Individual provider Active NPI

Regine De la Pena, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1487470464
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15347200 Issued in NJ
Practice address
89 Bartlett St
Brooklyn, NY 11206-4463
Phone
(718) 828-2666
NPI assigned
Nov 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15347200 NJ Primary
Registered Nurse 163W00000X 766401 NY

Addresses

Primary practice location

89 Bartlett St
Brooklyn, NY 11206-4463

Mailing address

321 N Warren St
Trenton, NJ 08618-4794
Phone (609) 278-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000690 NJ Practitioner - Nurse Practitioner 9436649910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry J Austin Health Center, IncGroup PAC ID 9739179409, 23 clinicians

Practice addresses (Care Compare)

112 Ewing St
Trenton, NJ 08609-1004
Phone (609) 278-6029

317 Chambers St
Trenton, NJ 08609-2603
Phone (609) 278-6029

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
766401NYMDRegistered Nurse
26NJ15347200NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J. Austin Health Center, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Henry J Austin Health Center Inc Current Accepting new patients
Henry J Austin Health Center, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients

Locations

112 Ewing St
Trenton, NJ 08609
Phone (609) 278-6033

433 Bellevue Ave
Fl 4
Trenton, NJ 08618
Phone (609) 278-6029

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

Interoperability endpoints

  • Direct secure messaging: regine.de.la.pena.1@12521.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1487470464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184794",
            "telephone_number": "609-278-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463",
            "telephone_number": "718-828-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "REGINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15347200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "766401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.