Individual provider Active NPI

Eddie Santana III

  • Obstetrics & Gynecology Physician
  • West Islip, NY
National Provider Identifier
1851895726
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
337950 Issued in NY
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(631) 376-3000
Fax
(631) 376-3420
NPI assigned
Mar 23, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB11886700 NJ
Obstetrics & Gynecology Physician 207V00000X 337950 NY Primary

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161
Phone (732) 937-8939

Other practice location 1

225 Williamson St Fl 4
Elizabeth, NJ 07202-3625
Phone (908) 994-5417

Other practice location 2

200 Williamson St Ste 350
Elizabeth, NJ 07202-2909
Phone (908) 994-5500

Other names 1

  • Dr. Eddie Santana Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004620 NJ Practitioner - Obstetrics/Gynecology 9335590868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
337950NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trinitas Physicians Practice, LLC Obstetrics & Gynecology CurrentSince Nov 29, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 29, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 29, 2024 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

200 Williamson St
Ste 350
Elizabeth, NJ 07202
Phone (908) 994-5500

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

225 Williamson St
Fl 4
Elizabeth, NJ 07202
Phone (551) 208-5187

240 Williamson St
Ste 305
Elizabeth, NJ 07202
Phone (908) 354-5353

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • Direct secure messaging: eddie.santana.1@3830.direct.athenahealth.com
  • Direct secure messaging: esantana179890@direct-chsli.net

Organizations & group practices 4

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1851895726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161",
            "telephone_number": "732-937-8939",
            "fax_number": "732-418-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "631-376-3000",
            "fax_number": "631-376-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Williamson St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-994-5417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Williamson St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072022909",
            "country_code": "US",
            "telephone_number": "908-994-5500",
            "fax_number": "908-558-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "EDDIE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2025-09-12",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB11886700",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "337950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "SANTANA",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.