Active NPI
Yoel Cuba-Pacheco
- Home Health Registered Nurse
- West New York, NJ
National Provider Identifier
1952974263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 26NR20007900
- Practice address
- 6135 Bergenline Ave Ste 4
West New York, NJ 07093-1562 - Phone
- (609) 857-2296
- Fax
- (609) 857-2295
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 26NR20007900 | NJ | Primary |
Addresses
Primary practice location
6135 Bergenline Ave Ste 4
West New York, NJ 07093-1562
Mailing address
37 Edison St # 1
Ridgefield Park, NJ 07660-2244
Phone (201) 668-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR20007900 | NJ | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Care | Current | Accepting new patients |
Locations
6135 Bergenline Ave
Ste 4
West New York, NJ 07093
Phone (609) 807-2293
Organizations & group practices 1
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.
-
- Home Health Aide
- West New York, NJ
- NPI 1154055879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1952974263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 EDISON ST # 1",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076602244",
"telephone_number": "201-668-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 BERGENLINE AVE STE 4",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931562",
"telephone_number": "609-857-2296",
"fax_number": "609-857-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBA-PACHECO",
"first_name": "YOEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NJ",
"license": "26NR20007900",
"primary": true
}
],
"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 Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.