Adalme Pena, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

021193 Issued in NY

Practice address

4037 74TH St
Elmhurst, NY 11373-5603

Phone

(718) 651-7000

NPI assigned

Aug 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

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

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.

• City Central Dermatology PLLC

  • Specialist
  • Elmhurst, NY
  • NPI 1780977579
  NPD (past)
• Meb Dermatology

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1932081999
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1598283434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735603",
            "telephone_number": "718-651-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 74TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735603",
            "telephone_number": "718-651-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ADALME",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "021193",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Pelaez, M.D.
• Marjorie Pelayre
• Pelham Pkway Neurology and Diagnostic, PC (broadway medical care)
• Amanda Elizabeth Pellegrino, MA, CCC-SLP, TSSLD
• Carl M. Pellman, M.D.
• Camila Patricia Pena, M.D.
• Mechell Lachica Penaflorida, NP
• Chihung Peng
• Sofiya Penkhasova, PA
• People Care Medical P.C.

• Medical Physician Assistant in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.