Active NPI
Melissa Pena, CNM
- Advanced Practice Midwife
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F-002075
- Practice address
- 8900 Van Wyck Expy
Jamaica, NY 11418-2832 - Phone
- (718) 206-8708
- NPI assigned
- Jul 20, 2021
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | F-002075 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Mailing address
10755 77TH St Apt 1
Ozone Park, NY 11417-1140
Phone (917) 275-8731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Columbia University College of Physicians and Surgeons, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3080 Atlantic Ave
Brooklyn, NY 11208-1268
Phone (718) 647-0240
Hospital & facility affiliations
- Jamaica Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002075 | NY | MD | Pediatric Nutrition Registered Dietitian |
| F-002075 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Hospital | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Jamaica Hospital Medical Center | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
3424 Kossuth Ave
Bronx, NY 10467
Phone (718) 519-3972
3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mpena680839@nychhc.direct-ci.com
- mpena97932@direct.medisys.org
Organizations & group practices 5
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Ambulatory Family Planning Facility
- Richmond Hill, NY
- NPI 1134376254
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1710550520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 77TH ST APT 1",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114171140",
"telephone_number": "917-275-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "718-206-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "MELISSA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F-002075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.