Elba A Pena

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3 Greenhills Rd
Huntington Station, NY 11746-3905

Phone

(631) 351-1111

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

No

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1528329323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 SOUTH ST APT 24F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100028057",
            "telephone_number": "516-777-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GREENHILLS RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463905",
            "telephone_number": "631-351-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ELBA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Patane, MD
• Prakash A Patel
• Roma Patel, RD, CDN
• Corine Francesca Patti, LMSW
• Glenn Richard Paul
• Shenna Marie Pendarvis
• Ruthann Perillo, MD
• Rachel Pessah Pollack, M.D.
• Florentia Georgianna Petrides
• Physio Pharmacy Inc

• Case Manager/Care Coordinator in Huntington Station, NY
• Providers in Huntington Station, 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 Jun 7, 2012; 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.