MR. JUAN PENA NPI 1255733523

NPI Information

NPI: 1255733523
Provider Name: MR. JUAN PENA
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
1831 GRAND CONCOURSE
BRONX, NY
ZIP 10453
Phone: (718) 365-6691
Get Directions

MR. Juan Pena is a foot and ankle surgery podiatrist in Bronx, NY. MR. Juan Pena NPI is 1255733523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1831 GRAND CONCOURSE
BRONX, NY
ZIP 10453-323
Phone: (718) 365-6691
Fax: (718) 364-7777

The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NN0400X	Chiropractor	Neurology	111NN0400X	NEW YORK	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	213E00000X	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SUPER1626	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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