DR. JOSE R SANCHEZ-PENA M.D.
NPI 1316911282
Internal Medicine in Paterson, NJ
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
Specialties & Licenses 4
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Jose Sanchez-pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fair Lawn, NJ 07410
- Reassigned Medicare billing, New Jersey enrollment
Brooklyn, NY 11220
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Jose Sanchez-pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Sanchez-pena reassigns Medicare benefits to 2 organizations: Pulmonary Solutions LLC (Fair Lawn, NJ) and Comprehensive Medical Care At 3rd Avenue PC (Brooklyn, NY). 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 Jose Sanchez-pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Sanchez-pena accept?
Health plans from Oscar Health 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.