Maria Rena Penecilla, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

440967-1 Issued in NY

Practice address

74 Madison Ave
Bergenfield, NJ 07621

Phone

(718) 960-6312

Fax

(718) 960-6444

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1710399415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MADISON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212319",
            "telephone_number": "718-960-6312",
            "fax_number": "718-960-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 MADISON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "07621",
            "telephone_number": "718-960-6312",
            "fax_number": "718-960-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENECILLA",
        "first_name": "MARIA RENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "440967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Patterson, RRT
• Annmary Paul
• Camille Paunon, AGPCNP-BC
• Arnold Turla Pazcoguin
• Danielle Peluso
• Beryl Elizabeth Pereira, MD.
• Lady J Perez, LCSW
• Melissa Peterson, APN
• Rachell Peterson
• Pinnacle Homecare Rehabilitation LLC

• Registered Nurse in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.