DR. JOSE R SANCHEZ-PENA M.D.
NPI 1316911282
Internal Medicine in Paterson, NJ

Active since February 15, 2006PECOS Enrolled
583 BROADWAY, PATERSON, NJ 07514(973) 653-5686(201) 221-8255 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jose R Sanchez-pena M.d. NPPES

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

DR. JOSE R SANCHEZ-PENA M.D. (NPI 1316911282) is an individual internal medicine provider in Paterson, New Jersey, licensed in New Jersey (42837) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1316911282
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSE R SANCHEZ-PENACredential: M.D.
Location Address583 BROADWAYPaterson, NJ 07514-2517
Mailing Address95 Crescent DrRingwood, NJ 07456-1108 · (973) 278-8818 · Fax (201) 221-8255
Fax(201) 221-8255
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 14, 2016
NPI 1316911282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 42837
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 42837 (NJ)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 42837 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 42837 (NJ)
583 BROADWAY, Paterson, NJ 07514

Other Identifiers 9

Medicare UPINC56624
Medicare PINWES511NY
Medicare PIN623876NJ
Medicaid6846505NJ
Medicaid00836824NY
Medicaid0469807NJ
Medicare PIN20D363NY
Medicare PIN090482NJ
Medicare PIN043361NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jose R Sanchez-pena M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658274774
PECOS Enrollment IDI20040128000200, I20041102000184
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
6,150 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
168 services36 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
115 services114 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
115 services114 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
96 services95 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
32 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers21 claims33 services$6.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers33 claims37 services$3.42 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.99 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$5.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Health Service)
583 BROADWAY
PATERSON, NJ 07514
Internal Medicine
583 BROADWAY
PATERSON, NJ 07514
Clinic/Center (Magnetic Resonance Imaging (MRI))
583 BROADWAY
PATERSON, NJ 07514
Clinic/Center (Health Service)
583 BROADWAY
PATERSON, NJ 07514
Clinic/Center (Radiology, Mobile)
583 BROADWAY
PATERSON, NJ 07514
Internal Medicine
583 BROADWAY, 2ND FLOOR
PATERSON, NJ 07514
Internal Medicine
583 BROADWAY, 2ND FLOOR
PATERSON, NJ 07514

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 Jose Sanchez-pena's NPI number?

The NPI number for Jose Sanchez-pena is 1316911282. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Jose Sanchez-pena located?

Jose Sanchez-pena practices at 583 Broadway, Paterson, NJ 07514. The listed phone number is (973) 653-5686.

What is Jose Sanchez-pena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Sanchez-pena enrolled in Medicare?

Yes. Jose Sanchez-pena is registered in the Medicare PECOS enrollment system.

What insurance does Jose Sanchez-pena accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jose Sanchez-pena 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 Jose Sanchez-pena was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.