Wandaly Pena

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

429 E 148TH St FL 1
Bronx, NY 10455-4128

Phone

(718) 585-0600

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831613744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 231ST ST APT 2E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664568",
            "telephone_number": "646-229-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E 148TH ST FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554128",
            "telephone_number": "718-585-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 E 231st St Apt 2E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104664568",
            "country_code": "US",
            "telephone_number": "646-229-9947",
            "fax_number": "646-229-9947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "WANDALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodgie Pena
• Rosa Safora Pena, LMSW
• Solange Pena
• Sorange Pena
• Sujeiry A. Pena, NP
• Yojarda Pena
• Ysalia Lidorca Pena, LMSW
• Yudelka Pena, LMSW
• Pena'S Excellent Transportation LLC
• Juan Pablo Penaloza, M.D.

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.