Provider Demographics
NPI:1265842538
Name:PINEDA CELY, JENNY MARCELA (MD)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:MARCELA
Last Name:PINEDA CELY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 GREENWAY CENTER DR STE 440
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3506
Mailing Address - Country:US
Mailing Address - Phone:301-474-8118
Mailing Address - Fax:
Practice Address - Street 1:7501 GREENWAY CENTER DR STE 440
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3506
Practice Address - Country:US
Practice Address - Phone:301-474-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0090266207K00000X
DCMD045116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology