Active NPIIndividual providerSole proprietor

Evelyn Pena, RD

Dietitian, Registered in Newark, New Jersey

NPI Number1760545248
Practice location
201 Lyons Ave, Family Treatment Center G-3, Newark, NJ 07112-2027
Fax
—
Last updated
July 8, 2007

Evelyn Pena is a Dietitian, Registered based in Newark, NJ. Evelyn Pena practices in Newark, NJ and has the professional credentials of RD. The NPI Number for Evelyn Pena is 1760545248 and holds a License No. 839523 (NJ). The current practice location address for Evelyn Pena is 201 Lyons Ave, Family Treatment Center G-3, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-6925.

Provider Profile Details

NPI Number
1760545248
Provider Name
Evelyn Pena
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Family Treatment Center G-3, Newark, NJ 07112-2027
Phone Number
973-926-6925
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Family Treatment Center G-3
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-6925
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave
Family Treatment Center G-3
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027

License Information

License Number
839523
License State
NJ
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evelyn Pena, RD?

The NPI number of Evelyn Pena, RD is 1760545248. It was assigned on December 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Evelyn Pena, RD?

Evelyn Pena, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 839523.

Where does Evelyn Pena, RD practice?

The practice location is 201 Lyons Ave, Family Treatment Center G-3, Newark, NJ 07112-2027. The office can be reached at 973-926-6925 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760545248 directly on the NPPES registry website.

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