Gilda Pena Tejada, M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI019681 Issued in NJ

Practice address

1315 Palisade Ave
Union City, NJ 07087-4221

Phone

(201) 865-8900

Fax

(201) 865-1002

NPI assigned

Apr 9, 2007

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: No
• 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1992828495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874221",
            "telephone_number": "201-865-8900",
            "fax_number": "201-865-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874221",
            "telephone_number": "201-865-8900",
            "fax_number": "201-865-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA TEJADA",
        "first_name": "GILDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulcine G Paul Jr., LPN
• Michelle S Paulino, LAC
• Katherine Pavlica, MS, OT
• Pearl Smile Dental PC
• Pelvic PT Rehabilitation
• Peoples RX Incorporated
• Candice Perez
• Ruben Perez, M.D.
• Richard Periut, MD
• Personal Touch Home Care of NJ, Inc

• General Practice Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.