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JESUS M PENA
NPI 1679921001
Student in an Organized Health Care Education/Training Program in Peabody, MA

Active since May 26, 2016
10 CENTENNIAL DR, PEABODY, MA 01960(978) 535-1110(978) 535-2907 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jesus M Pena NPPES

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

JESUS M PENA (NPI 1679921001) is an individual student in an organized health care education/training program in Peabody, Massachusetts and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1679921001
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESUS M PENA
Location Address10 CENTENNIAL DRPeabody, MA 01960-7938
Mailing Address10 Centennial DrPeabody, MA 01960-7938 · (978) 535-1110 · Fax (978) 535-2907
Phone(978) 535-1110
Fax(978) 535-2907
Sole ProprietorYes
Enumeration DateMay 26, 2016
✔ NPI 1679921001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10 CENTENNIAL DR, Peabody, MA 01960
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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.

JOSEPH RICHARD SCARAMOZZA MD
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MRS. LINDSAY MADELINE DICKER CRNP
Nurse Practitioner (Pediatrics)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
KATHERINE WU M.D.
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
ROBERT W MULROY PT
Physical Therapist
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 826-7230
IRIS KADDIS MD
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
DR. CANDICE M SNYDER M.D.
Pediatrics
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MELANIE PIERRE NP
Nurse Practitioner (Pediatrics)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 535-1110
MRS. SHARON PAIGE FISCHER LICSW
Social Worker (Clinical)
10 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 818-6785

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 Jesus Pena's NPI number?

The NPI number for Jesus Pena is 1679921001. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Jesus Pena located?

Jesus Pena practices at 10 Centennial Dr, Peabody, MA 01960. The listed phone number is (978) 535-1110.

What is Jesus Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jesus Pena was last updated on May 26, 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.