Santa Maria Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA06334400 Issued in NJ

Legal business name

SANTA MARIA CLINIC

Practice address

845 Kearny Ave
Kearny, NJ 07032-3244

Phone

(201) 991-1129

Fax

(201) 991-2272

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mauricio Jorge Sanchez, MD

Title

Owner

Phone

(201) 991-1129

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1720344690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323244",
            "telephone_number": "201-991-1129",
            "fax_number": "201-991-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323244",
            "telephone_number": "201-991-1129",
            "fax_number": "201-991-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MAURICIO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-991-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06334400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "235585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unknown Sandhiya
• Robert Cory Sandler, DMD
• Jenna Rose Sandomenico, PHARMD
• James J Sanfilippo, D.C.
• Elise Sanon-Jules, RN
• Santa Maria Medical Group,P.a.
• Fatima Santiago
• Diana Marie Sardo
• Julio Sarmiento, LSW
• Malwina Sarnas, PHARM.D.

• Primary Care Clinic/Center in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.