ERIKA YESENIA PINEDA MD
NPI 1003336983
Pediatrics - Pediatric Critical Care Medicine in Newark, NJ

Q: What is Erika Pineda's NPI number?

The NPI number for Erika Pineda is 1003336983. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Erika Pineda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Erika Pineda was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2017PECOS Enrolled

201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2020, Jun 22, 2017 (2 updates tracked since 2017).

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About Erika Yesenia Pineda Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIKA YESENIA PINEDA MD (NPI 1003336983) is an individual pediatric critical care medicine provider in Newark, New Jersey, licensed in New Jersey (25MA11876300) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003336983

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameERIKA YESENIA PINEDACredential: MD

Location Address201 LYONS AVENewark, NJ 07112-2027

Mailing Address201 Lyons AveNewark, NJ 07112-2027 · (973) 926-7000

Phone(973) 926-7000

Sole ProprietorNo

Enumeration DateJune 22, 2017

Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1003336983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NJ · 25MA11876300

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 25MA11876300 (NJ)

201 LYONS AVE, Newark, NJ 07112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erika Yesenia Pineda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Erika Pineda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc

2.5 mi

Pediatrics

90 BERGEN ST
Newark, NJ 07103

Reassigned Medicare billing, New Jersey enrollment
61 clinicians in this Medicare group

NPI 1679583272 (973) 972-2100

Barnabas Health Medical Group PC

3.5 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Rwjbh Observation Associates LLC

6.0 mi

Emergency Medicine

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
1,913 clinicians in this Medicare group

NPI 1760095806 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH MICHAEL SPELLMAN M.D.

Radiology (Diagnostic Radiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7960

DR. LARISSA SOPHIA DUDLEY M.D.

Emergency Medicine

201 LYONS AVE, SUITE D11
NEWARK, NJ 07112

Essex County (973) 926-6671

WAQAS BARI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (800) 843-2384

CASEY YEONJOO CHO APN

Nurse Practitioner (Acute Care)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-6938

KARLINA NGUYEN PA-C

Physician Assistant

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

BRIAN CAO MD

Anesthesiology (Pediatric Anesthesiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

DR. ALEXIS LORDI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 900-4855

DIVYA-SHREE PATEL

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erika Pineda's NPI number?

The NPI number for Erika Pineda is 1003336983. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Erika Pineda located?

Erika Pineda practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is Erika Pineda's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Erika Pineda enrolled in Medicare?

Yes. Erika Pineda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erika Pineda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Pineda reassigns Medicare benefits to 3 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erika Pineda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika Pineda accept?

Health plans from Oscar Health list Erika Pineda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erika Pineda was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.