1427522564 NPI number — SANITAS MEDICAL CENTER OF NEW JERSEY PC

Table of content: (NPI 1427522564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427522564 NPI number — SANITAS MEDICAL CENTER OF NEW JERSEY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANITAS MEDICAL CENTER OF NEW JERSEY PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427522564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8400 NW 33RD ST STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33122-1937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-882-2869
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 WILLIAMSON ST STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07202-2909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-617-0501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2019

Additional Information

Authorized Official

Authorized Official Last Name:
ESTRADA
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
DIEGO
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
786-882-2869

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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