Active NPI
Renee Eva Pena
- Specialist
- Bayonne, NJ
National Provider Identifier
1740521483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 712779131
- Practice address
- 22C W 34TH St
Bayonne, NJ 07002-8688 - Phone
- (917) 755-3572
- NPI assigned
- Mar 5, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 712779131 | NY | Primary |
Addresses
Primary practice location
22C W 34TH St
Bayonne, NJ 07002-8688
Mailing address
22C W 34TH St
Bayonne, NJ 07002-8688
Phone (917) 755-3572
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 |
|---|---|---|---|
| 712779131 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1740521483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22C W 34TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070028688",
"telephone_number": "917-755-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22C W 34TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070028688",
"telephone_number": "917-755-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "RENEE",
"middle_name": "EVA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "712779131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
- Pauline Ann Calibara Pejan, PTA
- August D. Pellegrini Jr., D.D.S.
- Marco Antonio Pelosi III, MD
- Marco Antonio Pelosi II, MD
- Rosenna Davita Hinnant Pemberton, LPC
- Peninsula Emergency Associates PA
- Peninsula Surgery Center, LLC
- Nicole Ashley Perez, OTR/L
- Perfect Home Care
- Perfect Medical Transportation Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.