MR. JUAN PENA (NPI# 1255733523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255733523 |
| Entity Type | Individual |
| Full Name | MR. JUAN PENA |
| Practice Address |
1831 Grand Concourse Bronx NY 10453-6323 |
| Practice Telephone | 7183656691 |
| Practice Fax Number | 7183647777 |
| Mailing Telephone | 7183656691 |
| Mailing Fax Number | 7183647777 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
111NN0400X | NY | Chiropractic Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
213E00000X | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SUPER1626 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120968 | Juan Carlos Pena | Behavior Technician | 14346 Sw 90th St, Miami, FL 33186-8010 | 2017-12-14 |
| 1477757052 | Juan Armando Pena | Internal Medicine | Wake Forest Baptist Health Dept Ofobgyn, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-06-14 |
| 1689738189 | Juan Carlos Pena | Family Medicine | 445 E Anaheim St Ste H, Wilmington, CA 90744-4600 | 2006-12-20 |
| 1952901050 | Juan Amando Pena Jr. | Pharmacist | 2800 W Nolana Ave, Mcallen, TX 78504-4596 | 2020-10-28 |
| 1043731854 | Juan B Pena | Social Worker | 26 Court St Ste 1009, Brooklyn, NY 11242 | 2017-06-30 |
| 1891179149 | Juan Pena | Counselor | 7225 N 1st St, Suite 101, Fresno, CA 93720-2986 | 2015-07-16 |
| 1295922870 | Juan Jose Pena | Social Worker | 108 W Victoria St, Gardena, CA 90248 | 2007-09-27 |
| 1255359238 | Juan G Pena | Internal Medicine | 7383 E Tanque Verde Rd, Tucson, AZ 85715-3475 | 2006-07-17 |
| Street Address |
1831 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528382280 | Heasook Kwon | Pharmacist | 1831 Grand Concourse, Bronx, NY 10453-6323 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245736644 | Joseph Michael Krupa | Podiatrist | 4487 3rd Ave Fl 1, Bronx, NY 10457-1526 | 2018-04-04 |
| 1689026791 | Daniel White | Podiatrist | 5807 Mosholu Ave, Bronx, NY 10471-2207 | 2016-07-13 |
| 1497186654 | New York Footcare 149st. P.C. | Podiatrist | 421 East 149th Street, Bronx, NY 10455-3904 | 2013-12-12 |
| 1891047452 | Dr Bijou Nfor Podiatry PC | Podiatrist | 3340 Baychester Ave Apt A, Bronx, NY 10475-1514 | 2012-10-07 |
| 1447516737 | Citi Wide Podiatry | Podiatrist | 1575 Williamsbridge Road, Bronx, NY 10461 | 2012-04-11 |
| 1508178195 | Diwarn Small | Podiatrist | 1430 Doris St, Apt 4 F, Bronx, NY 10462-4990 | 2010-07-12 |
| 1497073258 | Asima Rafiq Chaudhry | Podiatrist | 1575 Williamsbridge Rd, Bronx, NY 10461-6209 | 2010-05-04 |
| 1750518130 | Sadia R Shah | Podiatrist | 1578 Williamsbridge Rd Apt 3a, Bronx, NY 10461-6268 | 2009-06-12 |
| 1063696987 | East Tremont Foot Care Pllc | Podiatrist | 3635 E Tremont Ave, Bronx, NY 10465-2010 | 2007-12-27 |
| 1922136753 | Bronx Foot Rehabilitation Associates | Podiatrist | 3112 Webster Ave, Ground Floor, Bronx, NY 10467-4926 | 2007-03-01 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on MR. JUAN PENA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.