DR. JEFFREY DE JESUS MALDONADO PENA (NPI# 1679912117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679912117 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DE JESUS MALDONADO PENA |
| Credential | M.D |
| Practice Address |
970 Newman Rd New Bern NC 28562-5200 |
| Mailing Address |
2da Ave # 5 Los Rosales Manati PR 00674 |
| Practice Telephone | 2526339262 |
| Practice Fax Number | 2523172094 |
| Mailing Telephone | 7879047292 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 29336-R | PR | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2019-02370 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00917 | 7874802791 |
| Street Address |
970 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929346 | Manuel Montero | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| 1801125000 | Suzanne Alayne Glover Holton | Registered Nurse | 970 Newman Rd, New Bern, NC 28562-5200 | 2009-12-17 |
| 1851566434 | Stuart Clark Jennings | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2008-04-24 |
| 1760511646 | Nathan Anthony Saucier | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2007-03-05 |
| 1679575880 | Thomas Elma Burkart | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| 1477555688 | Walter Joseph Newman | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929346 | Manuel Montero | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| 1851566434 | Stuart Clark Jennings | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2008-04-24 |
| 1760511646 | Nathan Anthony Saucier | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2007-03-05 |
| 1679575880 | Thomas Elma Burkart | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| 1477555688 | Walter Joseph Newman | Internal Medicine | 970 Newman Rd, New Bern, NC 28562-5200 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251492 | Renal Care, Pllc | Internal Medicine | 607 E Parker Rd Ste A, Morganton, NC 28655-8105 | 2019-08-20 |
| 1508360462 | North Carolina Nephrology Pa | Internal Medicine | 3604 Bush St Fl 2, Raleigh, NC 27609-7511 | 2018-03-23 |
| 1558865444 | North Carolina Nephrology Pa | Internal Medicine | 1006 N Arendell Ave, Zebulon, NC 27597-2352 | 2018-03-23 |
| 1932603800 | North Carolina Nephrology Pa | Internal Medicine | 2824 Rogers Rd Ste 104, Wake Forest, NC 27587-3896 | 2018-03-23 |
| 1760986608 | North Carolina Nephrology Pa | Internal Medicine | 160 Macgregor Pines Dr Ste 301, Cary, NC 27511-6037 | 2018-03-23 |
| 1083168181 | Private Diagnostic Clinic, Pllc | Internal Medicine | 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 | 2016-08-08 |
| 1932596525 | Robert Lorch | Internal Medicine | 2 Genome Ct, Durham, NC 27710-3011 | 2015-04-21 |
| 1770991945 | Barbara Gillespie | Internal Medicine | 109 Linton Banks Pl, Cary, NC 27513-2051 | 2014-07-31 |
| 1902216757 | Evan Zeitler | Internal Medicine | 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 | 2014-05-02 |
| 1649512583 | William Preston Nixon Jr. | Internal Medicine | 2 Jasmine Ct, Wrightsville Beach, NC 28480-1924 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
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| 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.