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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KETTY ACASIA DAVILA RN- PMHNP STUDENT
NPI 1790606242
Student in an Organized Health Care Education/Training Program in West New York, NJ

Active since July 22, 2026
415 60TH ST, WEST NEW YORK, NJ 07093(201) 737-9758 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ketty Acasia Davila Rn- Pmhnp Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTY ACASIA DAVILA RN- PMHNP STUDENT (NPI 1790606242) is an individual student in an organized health care education/training program in West New York, New Jersey, licensed in New Jersey (1194539023) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1790606242
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKETTY ACASIA DAVILACredential: RN- PMHNP STUDENT
Location Address415 60TH STWest New York, NJ 07093-2211
Mailing Address415 60th St Fl 2West New York, NJ 07093-2211 · (201) 737-9758
Phone(201) 737-9758
Sole ProprietorYes
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1790606242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NJ · 1194539023
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

415 60TH ST, West New York, NJ 07093
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA FAMILIA COMMUNITY SUPPORTS SERVICES LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
415 60TH ST
WEST NEW YORK, NJ 07093
Hudson County (305) 972-0162
MRS. ANAY VAZQUEZ APN
Nurse Practitioner (Psychiatric/Mental Health)
415 60TH ST
WEST NEW YORK, NJ 07093
Hudson County (551) 697-0986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketty Davila's NPI number?

The NPI number for Ketty Davila is 1790606242. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Ketty Davila located?

Ketty Davila practices at 415 60th St, West New York, NJ 07093. The listed phone number is (201) 737-9758.

What is Ketty Davila's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ketty Davila was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.