Active NPIOrganization

Cliffside Medical LLC

Dermatology in Cliffside Park, New Jersey

NPI Number1104908813
Practice location
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Fax
201-945-1157
Last updated
October 11, 2023

Cliffside Medical LLC is a healthcare organization based in Cliffside Park, NJ. Cliffside Medical LLC practices in Cliffside Park, NJ. The NPI Number for Cliffside Medical LLC is 1104908813. The current practice location address for Cliffside Medical LLC is 663 Palisade Ave, Cliffside Park, NJ 07010-3012 and can be reached out via phone at 201-945-6500 and via fax at 201-945-1157.

Provider Profile Details

NPI Number
1104908813
Provider Name
Cliffside Medical LLC
Provider Entity Type
Organization
Address
663 Palisade Ave, Cliffside Park, NJ 07010-3012
Phone Number
201-945-6500
Fax Number
201-945-1157
Primary Taxonomy
Dermatology · 207N00000X
Organization Subpart
No
Authorized Official
Benjamin S Chouake, MD · President · 201-945-6500
Provider Enumeration Date
October 20, 2006
Last Update Date
October 11, 2023
Certification Date
October 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
663 Palisade Ave
Cliffside Park, NJ 07010-3012
Zip
07010-3012
Phone Number
201-945-6500
Fax Number
201-945-1157
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
663 Palisade Ave Ste 101
Cliffside Park, NJ 07010-3098
City
Cliffside Park
State
NJ
Zip
07010-3098
Phone Number
201-945-6500
Fax Number
201-945-1157

License Information

Taxonomy (1)
Internal Medicine · 207R00000X
Taxonomy (2)
Emergency Medicine · 207P00000X
Taxonomy (3)
Family Medicine · 207Q00000X
Taxonomy (4)
Physical Medicine & Rehabilitation · 208100000X
Taxonomy (5)
Radiology, Diagnostic Radiology · 2085R0202X
Taxonomy (6)
General Practice · 208D00000X
Taxonomy (7)
Dermatology · 207N00000X · 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 Cliffside Medical LLC?

The NPI number of Cliffside Medical LLC is 1104908813. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Cliffside Medical LLC?

Cliffside Medical LLC is registered under the primary taxonomy Dermatology (code 207N00000X).

Where does Cliffside Medical LLC practice?

The practice location is 663 Palisade Ave, Cliffside Park, NJ 07010-3012. The office can be reached at 201-945-6500 (phone) or 201-945-1157 (fax).

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 1104908813 directly on the NPPES registry website.

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