Active NPI
Carmine Pena, DDS
- Endodontics
- Great Neck, NY
National Provider Identifier
1649639808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 059459
- Practice address
- 23 Bond St Ste 5
Great Neck, NY 11021-2025 - Phone
- (516) 482-4777
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 059459 | NY | Primary |
| General Practice Dentistry | 1223G0001X | 059459 | NY |
Addresses
Primary practice location
23 Bond St Ste 5
Great Neck, NY 11021-2025
Mailing address
3132 38TH St Ste 1C
Astoria, NY 11103-3595
Phone (718) 545-7770
Other practice location 1
3132 38th St Ste 1C
Astoria, NY 11103-3595
Phone (718) 545-7770
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059459 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1649639808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 38TH ST STE 1C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033595",
"telephone_number": "718-545-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BOND ST STE 5",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212025",
"telephone_number": "516-482-4777"
}
],
"practiceLocations": [
{
"address_1": "3132 38th St Ste 1C",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111033595",
"country_code": "US",
"telephone_number": "718-545-7770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENA",
"first_name": "CARMINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "059459",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.