Individual provider Active NPI

Juan Santana, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1770957466
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9385424 Issued in FL
Practice address
11750 SW 40TH St
Miami, FL 33175-3530
Phone
(706) 863-9595
Fax
(706) 868-8375
NPI assigned
Nov 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00802600 NJ
Nurse Practitioner 363L00000X 26NR19782900 NJ
Family Nurse Practitioner 363LF0000X ARNP9385424 FL Primary

Addresses

Primary practice location

11750 SW 40TH St
Miami, FL 33175-3530

Mailing address

PO Box 3725
Augusta, GA 30914-3725
Phone (706) 863-9595

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
I20200318000166 NJ Practitioner - Nurse Practitioner 7214232792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Community Healthcare, Inc.Group PAC ID 5193637072, 18 clinicians
Gands Medical Associates LLCGroup PAC ID 0244404697, 17 clinicians

Practice addresses (Care Compare)

115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Phone (551) 256-8406

606 Broadway
Paterson, NJ 07514-1916
Phone (908) 240-8142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00802600NJMDNurse Practitioner
26NR19782900NJMDNurse Practitioner
ARNP9385424FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
G&S Medical Associates LLC Family CurrentSince Apr 1, 2026 Accepting new patients
Am PM Primary Care PastSince Jun 15, 2024 Accepting new patients

Locations

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1770957466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3725",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143725",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "JUAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00802600",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR19782900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9385424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.