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DR. JUAN PABLO PENALOZA M.D.
NPI 1730346453
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
1276 FULTON AVE, BRONX, NY 10456(718) 901-8484(718) 901-8656 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Juan Pablo Penaloza M.d. NPPES

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

DR. JUAN PABLO PENALOZA M.D. (NPI 1730346453) is an individual psychiatry provider in Bronx, New York, licensed in New York (262670) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1730346453
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JUAN PABLO PENALOZACredential: M.D.
Location Address1276 FULTON AVEBronx, NY 10456-3402
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 901-8484 · Fax (718) 901-8656
Phone(718) 901-8484
Fax(718) 901-8656
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 20, 2008
Last NPPES UpdateNovember 12, 2013
✔ NPI 1730346453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 262670
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1276 FULTON AVE, Bronx, NY 10456
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan Pablo Penaloza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406023860
PECOS Enrollment IDI20201230001925
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

2

Medicare enrollment records show Juan Penaloza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronxcare Health System
Same address
Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1073806519 (718) 901-8920
Bergen County Improvement Authority
12 mi
Psychiatry
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
NPI 1578641924 (201) 967-4000

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. ORLANDO BOSCH LCSW
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8010
RAJESH MANHARBHAI PATEL M.D
Psychiatry & Neurology (Addiction Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8222
MR. JOHN LEE PA
Physician Assistant (Medical)
1276 FULTON AVE, PSYCHIATRY - MMTP
BRONX, NY 10456
Bronx County (718) 503-7794
MS. MARJORIE LEAH MURAVINA LCSW
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8918
DR. VAHID NIKZAD M.D.
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8653
MAYRA RAMIREZ LCSW
Social Worker
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-6335
KETKI S SHAH M.D.
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8445
BRONXCARE HEALTH SYSTEM
Clinic/Center (Mental Health (Including Community Mental Health Center))
1276 FULTON AVE
BRONX, NY 10456
Bronx County (718) 901-8600

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 Juan Penaloza's NPI number?

The NPI number for Juan Penaloza is 1730346453. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Juan Penaloza located?

Juan Penaloza practices at 1276 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 901-8484.

What is Juan Penaloza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Juan Penaloza enrolled in Medicare?

Yes. Juan Penaloza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Juan Penaloza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Penaloza reassigns Medicare benefits to 2 organizations: Bronxcare Health System (Bronx, NY) and Bergen County Improvement Authority (Paramus, 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 Juan Penaloza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Juan Penaloza affiliated with any hospitals?

According to CMS data, Juan Penaloza is affiliated with Bergen New Bridge Medical Center.

When was this NPI record last updated?

The NPPES record for Juan Penaloza was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.