Organization Active NPI

West New York Healing Center Corp

  • Internal Medicine Physician
  • West New York, NJ
National Provider Identifier
1669073318
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST NEW YORK HEALING CENTER CORP
Practice address
5300 Bergenline Ave Ste 304
West New York, NJ 07093-5616
Phone
(201) 442-0581
NPI assigned
Nov 7, 2020
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Ricardo De Los Santos
Title
Cito
Phone
(201) 233-9614

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

5300 Bergenline Ave Ste 304
West New York, NJ 07093-5616

Mailing address

5300 Bergenline Ave Ste 304
West New York, NJ 07093-5616
Phone (201) 442-0581

National Provider Directory

National Provider Directory

Locations

5300 Bergenline Ave
Ste 304
West New York, NJ 07093
Phone (201) 442-0581

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1669073318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE STE 304",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935616",
            "telephone_number": "201-442-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE STE 304",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935616",
            "telephone_number": "201-442-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NEW YORK HEALING CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DE LOS SANTOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CITO",
        "authorized_official_telephone_number": "201-233-9614"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 13, 2025; 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.