KELLY JOY PENA (NPI# 1710294871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710294871 |
| Entity Type | Individual |
| Full Name | KELLY JOY PENA |
| Credential | RN |
| Practice Address |
2020 Julia Goldbach Ave Ronkonkoma NY 11779-6311 |
| Practice Telephone | 6316764004 |
| Mailing Telephone | 6316764004 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 590517-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 590517-1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912634 | Kelly Pena | Technician | 171 W 2nd St, Weston, WV 26452-1665 | 2020-11-02 |
| Street Address |
2020 JULIA GOLDBACH AVE |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719034 | Emily Jennifer Levy I | Registered Nurse | 3085 Veterans Memorial Hwy, Ronkonkoma, NY 11779-7614 | 2020-10-28 |
| 1437758836 | Darian Reyes | Registered Nurse | 36 Samuel St, Ronkonkoma, NY 11779-4327 | 2020-10-19 |
| 1699385328 | Kamlesh Arya | Registered Nurse | 39 Johnson Ave, Ronkonkoma, NY 11779-5374 | 2020-08-06 |
| 1710524384 | Jennifer Ann Cerulli-brown | Registered Nurse | 84 Hawthorne Ave, Ronkonkoma, NY 11779-5902 | 2019-12-03 |
| 1760964902 | Marguerite Leconte | Registered Nurse | 106 Breeze Ave, Ronkonkoma, NY 11779-5904 | 2018-09-04 |
| 1710488697 | Christopher Joseph Pastorelli | Registered Nurse | 391 Ontario St, Ronkonkoma, NY 11779-4946 | 2018-02-26 |
| 1689110843 | Briana Walker | Registered Nurse | 233 Maplecrest Dr, Ronkonkoma, NY 11779-1964 | 2017-01-12 |
| 1215470372 | Yanique Constant I | Registered Nurse | 249a Avenue C, Ronkonkoma, NY 11779-8402 | 2016-11-22 |
| 1093262180 | Cathy Wirtenson | Registered Nurse | 28 Wainwright St, Ronkonkoma, NY 11779-4713 | 2016-09-06 |
| 1891153805 | Santa Espinal | Registered Nurse | 221 Apache St, Ronkonkoma, NY 11779-4601 | 2016-02-04 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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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.