Provider Demographics
NPI:1477812980
Name:BARCIA-PENA, PAULA MARIA (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:MARIA
Last Name:BARCIA-PENA
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 1:718 TEANECK RD
Mailing Address - Street 2:HEALTH PARTNER SERVICES
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-833-3000
Mailing Address - Fax:201-227-6207
Practice Address - Street 1:222 CEDAR LANE
Practice Address - Street 2:SUITE 207
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4312
Practice Address - Country:US
Practice Address - Phone:201-833-7087
Practice Address - Fax:201-833-7123
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09851400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0520225Medicaid
NJ525859VT2Medicare PIN