Marisol A Pena, RPSGT

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

49FW00019600 Issued in NJ

Practice address

235 New Brunswick Ave
Perth Amboy, NJ 08861-4146

Phone

(732) 486-8602

Fax

(732) 486-8517

NPI assigned

Feb 22, 2013

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

State licenses

Practice roles

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.

• Amboy Sleep Health Center Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Perth Amboy, NJ
  • NPI 1669816054
  NPD (past) Authorized official
• Sleep Atozzzs LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Livingston, NJ
  • NPI 1316208994
  NPD (past)

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1972843282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614146",
            "telephone_number": "732-486-8602",
            "fax_number": "732-486-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614146",
            "telephone_number": "732-486-8602",
            "fax_number": "732-486-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARISOL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPSGT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NJ",
            "license": "49FW00019600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Pearson, LPN
• Pedi Doc, P.a.
• Laura Camila Pedraza- Arevalo
• Isabel Peixoto
• Linda Peloquin, RN
• Perth Amboy Anesthesiology PC
• Perth Amboy Chiropractic Health Center, P.a.
• Perth Amboy Health Care L.L.C.
• Perth Amboy Physical Therapy & Sports Medicine Center
• Perth Amboy Physical Therapy and Wellness

• Sleep Disorder Diagnostic Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.