Individual provider Active NPI

Doris Santiago, MSN,R.N,A.P.N.,C

  • Adult Health Clinical Nurse Specialist
  • Clifton, NJ
National Provider Identifier
1457584179
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ00232900 Issued in NJ
Practice address
248 Demott Ave
Clifton, NJ 07011-3737
Phone
(973) 563-4396
Fax
(973) 744-6160
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ00232900 NJ Primary

Addresses

Primary practice location

248 Demott Ave
Clifton, NJ 07011-3737

Mailing address

248 Demott Ave
Clifton, NJ 07011-3737
Phone (973) 563-4396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000791 NJ Practitioner - Nurse Practitioner 4284805417 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC CurrentSince Jun 2, 2014 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 3, 2017 Accepting new patients
Luis Benalcazar, MD Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients
North Hudson Community Action Corporation Past Accepting new patients

Locations

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

196 Jewett Ave
Jersey City, NJ 07304
Phone (201) 332-3354

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

5301 Broadway
West New York, NJ 07093
Phone (201) 866-9320

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1457584179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 DEMOTT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113737",
            "telephone_number": "973-563-4396",
            "fax_number": "973-744-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 DEMOTT AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113737",
            "telephone_number": "973-563-4396",
            "fax_number": "973-744-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DORIS",
        "credential": "MSN,R.N,A.P.N.,C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00232900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.