Organization Active NPI

Sanitas Medical Center of New Jersey PC

Doing business as Sanitas Medical Center

  • Family Medicine Physician
  • Union City, NJ
National Provider Identifier
1740792779
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
Doing business as
Sanitas Medical Center
Practice address
3196 Kennedy Blvd
Union City, NJ 07087-2436
Phone
(833) 617-0501
NPI assigned
Oct 31, 2017
Organization subpart
No

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
Ceo
Phone
(786) 882-2869

Specialties & licenses 1

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

Addresses

Primary practice location

3196 Kennedy Blvd
Union City, NJ 07087-2436

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

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

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": "1740792779",
    "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": "3196 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "833-617-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANITAS MEDICAL CENTER OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "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": "CEO",
        "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"
        },
        {
            "organization_name": "Sanitas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union 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.