Active NPIOrganization

Palisades Park Medicine, P.c.

Internal Medicine in Palisades Park, New Jersey

NPI Number1093080871
Practice location
340 Broad Ave, Palisades Park, NJ 07650-2618
Fax
—
Last updated
March 13, 2012

Palisades Park Medicine, P.c. is a healthcare organization based in Palisades Park, NJ. Palisades Park Medicine, P.c. practices in Palisades Park, NJ. The NPI Number for Palisades Park Medicine, P.c. is 1093080871 and holds a License No. 2MA05329300 (NJ). The current practice location address for Palisades Park Medicine, P.c. is 340 Broad Ave, Palisades Park, NJ 07650-2618 and can be reached out via phone at 201-592-1112.

Provider Profile Details

NPI Number
1093080871
Provider Name
Palisades Park Medicine, P.c.
Provider Entity Type
Organization
Address
340 Broad Ave, Palisades Park, NJ 07650-2618
Phone Number
201-592-1112
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Kyungkon Kenneth Choi, MD · Owner · 201-638-8156
Provider Enumeration Date
March 13, 2012
Last Update Date
March 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
340 Broad Ave
Palisades Park, NJ 07650-2618
Zip
07650-2618
Phone Number
201-592-1112
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
340 Broad Ave
Palisades Park, NJ 07650-2618
City
Palisades Park
State
NJ
Zip
07650-2618
Phone Number
201-592-1112

License Information

License Number
2MA05329300
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Palisades Park Medicine, P.c.?

The NPI number of Palisades Park Medicine, P.c. is 1093080871. It was assigned on March 13, 2012 and is currently active in the NPPES registry.

What is the specialty of Palisades Park Medicine, P.c.?

Palisades Park Medicine, P.c. is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 2MA05329300.

Where does Palisades Park Medicine, P.c. practice?

The practice location is 340 Broad Ave, Palisades Park, NJ 07650-2618. The office can be reached at 201-592-1112 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093080871 directly on the NPPES registry website.

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