Milagros J Pena, RN, MS, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381092 Issued in NY

Practice address

519 Broadway
Staten Island, NY 10310-2822

Phone

(718) 447-5437

NPI assigned

Apr 25, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: milagros.pena.1@29151.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD (past)
• Hillcrest Medical Associates, P.C,.

  • Pediatrics Physician
  • Nanuet, NY
  • NPI 1114193273
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1801187950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102822",
            "telephone_number": "718-982-9001",
            "fax_number": "718-982-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102822",
            "telephone_number": "718-447-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Airport Executive Park",
            "address_2": "suite 205",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109545262",
            "country_code": "US",
            "telephone_number": "845-356-3610",
            "fax_number": "845-352-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "MILAGROS",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN, MS, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03376189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Yvonne Pellegrino
• Delia Margaret Pellettiere, MS, OTR/L
• Mariann Rose Pello, PH.D.
• Nicole Peluso
• Jayleen Marie Pena, OTR/L
• Teresa Marie Pena, RN
• Yesenia Victoria Pena
• Luisa Alejandra Penagos
• Miriam Elizabeth Penas, SOCIAL WORKER
• Keann Pender

• Pediatric Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.