Carmen Frida Pena Pujals, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

048809 Issued in NY

Practice address

770 Anderson Ave Apt 8F
Cliffside Park, NJ 07010-2180

Phone

(201) 681-0710

NPI assigned

May 22, 2008

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

Other names 1

• Dr. Carmen Frida Pena Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• The Institute for Family Health

  dba Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408
  Medicare reassignment NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017
  NPD

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1871750166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE APT 8F",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ANDERSON AVE APT 8F",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102180",
            "telephone_number": "201-681-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA PUJALS",
        "first_name": "CARMEN",
        "middle_name": "FRIDA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "PENA",
            "middle_name": "FRIDA",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Palisades Rehab and Physical Therapy Center, LLC
• Palisades Rehab and Spinal Care Group,
• Palisades Urgent Care, LLC
• Jalpa Patel, DPT
• Upasna Patel, P.T
• Felix Eduardo Perez, P.T.
• Ignacio Perico, MA, LAC, LCADC, NCC
• Personalized Home Care, LTD. of N.J.
• Emily Peterman
• Porite Clinical Lab Inc

• Dentist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.