Individual provider Active NPI

Pearl Cenon, MD

  • Pediatrics Physician
  • Union City, NJ
National Provider Identifier
1811003619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA064432 Issued in NJ
Practice address
511 22ND St
Union City, NJ 07087-3500
Phone
(201) 866-7740
Fax
(201) 866-6610
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA064432 NJ Primary

Addresses

Primary practice location

511 22ND St
Union City, NJ 07087-3500

Mailing address

316 Neal Dow Ave
Staten Island, NY 10314-3128
Phone (718) 442-9671

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA064432NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Riverview Healthcare Associates Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Cityheights Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cenon.pearl.001.0300082@chp.meditab.direct-ci.com
  • Direct secure messaging: pearl.cenon@direct.bayonnemedicalcenter.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811003619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 NEAL DOW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143128",
            "telephone_number": "718-442-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 22ND ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873500",
            "telephone_number": "201-866-7740",
            "fax_number": "201-866-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENON",
        "first_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA064432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.