Organization Active NPI

West New York Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • West New York, NJ
National Provider Identifier
1225098965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WEST NEW YORK MEDICAL SUPPLIES
Practice address
444 60TH St
West New York, NJ 07093-2200
Phone
(201) 854-9910
Fax
(201) 854-9920
NPI assigned
Mar 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alfredo Valdes Jr.
Title
Pres
Phone
(201) 854-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

444 60TH St
West New York, NJ 07093-2200

Mailing address

444 60TH St
West New York, NJ 07093-2200
Phone (201) 854-9910

Other identifiers 3

IdentifierTypeStateIssuer
2437728OtherNJAETNA
0130095MedicaidNJ
1125704OtherNJHORIZON NJ HEALTH

National Provider Directory

National Provider Directory

Locations

444 60th St
West New York, NJ 07093
Phone (201) 854-5555

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225098965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932200",
            "telephone_number": "201-854-9910",
            "fax_number": "201-854-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932200",
            "telephone_number": "201-854-9910",
            "fax_number": "201-854-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NEW YORK MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "201-854-9910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2437728",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130095",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1125704",
            "state": "NJ"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.