Individual provider Active NPI

Sandra Constantine Peinado, M.D.

  • Family Medicine Physician
  • Short Hills, NJ
National Provider Identifier
1912334780
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04658500 Issued in NJ
Practice address
1 Pinewood CT
Short Hills, NJ 07078-3415
Phone
(973) 379-4007
Fax
(973) 379-5576
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04658500 NJ Primary

Addresses

Primary practice location

1 Pinewood CT
Short Hills, NJ 07078-3415

Mailing address

1 Pinewood CT
Short Hills, NJ 07078-3415
Phone (973) 379-4007

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04658500NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1912334780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PINEWOOD CT",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783415",
            "telephone_number": "973-379-4007",
            "fax_number": "973-379-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINEWOOD CT",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070783415",
            "telephone_number": "973-379-4007",
            "fax_number": "973-379-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINADO",
        "first_name": "SANDRA",
        "middle_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04658500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.