DELBA J. PENA D.D.S., P.C. (NPI# 1639341712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639341712 |
| Entity Type | Organization |
| Organization Name | DELBA J. PENA D.D.S., P.C. |
| Practice Address |
186 Clinton St Hempstead NY 11550-2600 |
| Mailing Address |
P.o. Box 160 Uniondale NY 11553 |
| Practice Telephone | 5164838136 |
| Practice Fax Number | 5164838134 |
| Mailing Telephone | 5164838136 |
| Mailing Fax Number | 5164838134 |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | DR. DELBA J PENA (PRESIDENT) |
| Authorized Official Telephone | 5164838136 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
047706-1 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01900307 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DELBA J. PENA DDS, P.C. | 186 Clinton St, Hempstead, Ny 11550 |
| Street Address |
186 CLINTON ST |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659381838 | Delba Josefina Pena | Dentist | 186 Clinton St, Hempstead, NY 11550-2600 | 2006-08-09 |
| 1457758963 | Brandon Carter | Dentist | 186 Clinton St, Hempstead, NY 11550-2600 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770012726 | Southwood Family Dental PC | Clinic/Center | 50 Clinton St Ste 100, Hempstead, NY 11550-4201 | 2017-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380246 | Charles R Hoeg Dmd PC | Clinic/Center | 45 Route 25a Ste A1, Shoreham, NY 11786-1389 | 2020-09-10 |
| 1801409016 | Daniel Babadzhanov Dmd Pllc | Clinic/Center | 7025 Yellowstone Blvd Ste 1o, Forest Hills, NY 11375-3165 | 2020-08-26 |
| 1417567611 | Hudson River Dental | Clinic/Center | 1 Baltic Pl Ste 104, Croton On Hudson, NY 10520-1642 | 2020-08-03 |
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1679182919 | Avalon Dental, PC | Clinic/Center | 20103 Northern Blvd Fl 1, Flushing, NY 11361-2563 | 2020-07-22 |
| 1104442706 | Igor Dekhkanov Dds PC | Clinic/Center | 438 Graham Ave Fl 1, Brooklyn, NY 11211-1415 | 2020-06-19 |
| 1245852334 | Walter G Neuhaus Dds PC | Clinic/Center | 2825 Niagara Falls Blvd Ste 170, Amherst, NY 14228-2000 | 2020-05-12 |
| 1487274445 | Rock A Smile Dental Studio Pllc | Clinic/Center | 9708 Rockaway Blvd, Ozone Park, NY 11417-1615 | 2020-04-20 |
| 1033738414 | Samina Haque Dmd Pllc | Clinic/Center | 25012 Hillside Ave Ste A, Bellerose, NY 11426-2139 | 2020-04-15 |
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DELBA J. PENA D.D.S., P.C..
| 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.