Active NPI
West New York Medical Supplies
- Durable Medical Equipment & Medical Supplies
- West New York, NJ
National Provider Identifier
1225098965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2437728 | Other | NJ | AETNA |
| 0130095 | Medicaid | NJ | |
| 1125704 | Other | NJ | HORIZON NJ HEALTH |
National Provider Directory
National Provider DirectoryLocations
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.