Thelma Mercedes Pena, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04170200 Issued in NJ

Practice address

340 W Hanover Ave
Morristown Cboc VA Clinic
Morristown, NJ 07960-2777

Phone

(973) 539-9794

NPI assigned

Aug 24, 2006

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922115013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "address_2": "1 SPEIR DRIVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070790534",
            "telephone_number": "973-762-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W HANOVER AVE",
            "address_2": "MORRISTOWN CBOC VA CLINIC",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602777",
            "telephone_number": "973-539-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "THELMA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04170200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Pegher, MD
• Eleni Pellazgu
• Annemarie Louise Pelle, MD
• Paul Joseph Pellicano, M.D.
• Christopher Pellino, D.C.
• Kelsey Lyn Pengitore, ATHLETIC TRAINER
• Lisset - Penton, DDS
• People Helping People in Need
• Kathryn Peper, M.D
• Courtney Pepper

• Internal Medicine Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Internal Medicine Physician in New Jersey

• 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.
• 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.