Janette Diana Asaro Pena, D.C.
Individual provider Active NPI Chiropractor · Holmes, NY
NPI 1770513996 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1770513996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X009817 (NY)
- Practice address
- 89 Bundy Hill Rd
Holmes, NY 12531-5300 - Phone
- (917) 574-6396
- Fax
- (914) 885-1091
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Pierces Rd
Newburgh, NY 12550-3234
Phone (845) 561-6800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000446 | NY | Practitioner - Chiropractic | 3971599929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009817 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Care Specialists LLC | Current | Accepting new patients | |
| Chiropractic Health Services, PC | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009817 | NY | Yes |
Addresses
Primary practice location
89 Bundy Hill Rd
Holmes, NY 12531-5300
Mailing address
89 Bundy Hill Rd
Holmes, NY 12531-5300
Phone (917) 574-6396
Other providers in Holmes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.