Organization Active NPI

West New York Health Center

  • Massage Therapist
  • West New York, NJ
National Provider Identifier
1124493630
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT00182200 Issued in NJ
Legal business name
WEST NEW YORK HEALTH CENTER
Practice address
5300 Bergenline Ave Ste 1
West New York, NJ 07093-5595
Phone
(201) 855-1635
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dante Joa, LMTNPI 1437524931
Title
Director
Phone
(201) 855-1635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 18KT00182200 NJ Primary

Addresses

Primary practice location

5300 Bergenline Ave Ste 1
West New York, NJ 07093-5595

Mailing address

5300 Bergenline Ave Ste 1
West New York, NJ 07093-5595
Phone (201) 855-1635

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1032840West New York Family Health Center5300 Bergenline Avenue, West New York, NJ 07093Provider-performed microscopyJul 12, 2026

National Provider Directory

National Provider Directory

Locations

5300 Bergenline Ave
Ste 1
West New York, NJ 07093
Phone (201) 854-9989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1124493630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE STE 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935595",
            "telephone_number": "201-855-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE STE 1",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935595",
            "telephone_number": "201-855-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NEW YORK HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "JOA",
        "authorized_official_first_name": "DANTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-855-1635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00182200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.