NPIMap

Organization Active NPI

Sanitas Medical Center of New Jersey PC

  • Family Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1407368442
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SANITAS MEDICAL CENTER OF NEW JERSEY PC
Practice address
350 Montgomery St
Jersey City, NJ 07302-4041
Phone
(305) 921-7621
Fax
(305) 921-7355
NPI assigned
Oct 31, 2017
Organization subpart
Yes
Parent organization
SANITAS MEDICAL CENTER OF NEW JERSEY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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

Authorized official

Name
Juan Diego Estrada, MD
Title
Director
Phone
(786) 882-2869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

350 Montgomery St
Jersey City, NJ 07302-4041

Mailing address

8400 NW 33Rd St Ste 201
Doral, FL 33122-1937
Phone (786) 882-2869

Other names 1

  • Sanitas Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanitas Medical Center of New Jersey PC4 organizations share this tax ID, including this one
Part of
Sanitas Medical Center of New Jersey PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707609600000",
    "number": "1407368442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "786-882-2869",
            "fax_number": "305-921-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024041",
            "telephone_number": "305-921-7621",
            "fax_number": "305-921-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANITAS MEDICAL CENTER OF NEW JERSEY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANITAS MEDICAL CENTER OF NEW JERSEY PC",
        "enumeration_date": "2017-10-31",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-882-2869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanitas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; 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.