Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edwin Antonio Pena, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851147425

Dr. Edwin Antonio Pena, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

150 Bergen St
Newark, NJ 07103-2496
Phone: (973) 972-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NJ)

Record details

NPI number1851147425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address32 Corabelle Ave, Lodi, NJ 07644-1604

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