Active NPI
Anna Valeria De la Pena Duenas, M.D.
- Student in an Organized Health Care Education/Training Program
- Jersey City, NJ
National Provider Identifier
1558065680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 355 Grand Street
Jersey City, NJ 07302 - Phone
- (201) 915-2431
- Fax
- (201) 915-2219
- NPI assigned
- Mar 30, 2023
- Reactivated
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
355 Grand Street
Jersey City, NJ 07302
Mailing address
400 Claremont Avenue
Unit 5108
Jersey City, NJ 07304
Phone (786) 557-9403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1558065680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CLAREMONT AVENUE",
"address_2": "UNIT 5108",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07304",
"telephone_number": "786-557-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND STREET",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-915-2431",
"fax_number": "201-915-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA PENA DUENAS",
"first_name": "ANNA VALERIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-30",
"last_updated": "2024-12-23",
"certification_date": "2023-03-30",
"deactivation_date": "2023-11-01",
"reactivation_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.