Khaleidoscope Health Care INC.
Clinic/Center, Primary Care in Jersey City, New Jersey
1306969787- Practice location
- 127 Lafayette St, Jersey City, NJ 07304-3615
- Phone
- 201-451-5425
- Fax
- 201-451-7499
- Last updated
- November 27, 2023
Khaleidoscope Health Care INC. is a healthcare organization based in Jersey City, NJ. Khaleidoscope Health Care INC. practices in Jersey City, NJ. The NPI Number for Khaleidoscope Health Care INC. is 1306969787 and holds a License No. 80305 (NJ). The current practice location address for Khaleidoscope Health Care INC. is 127 Lafayette St, Jersey City, NJ 07304-3615 and can be reached out via phone at 201-451-5425 and via fax at 201-451-7499.
Provider Profile Details
- NPI Number
- 1306969787
- Provider Name
- Khaleidoscope Health Care INC.
- Provider Entity Type
- Organization
- Address
- 127 Lafayette St, Jersey City, NJ 07304-3615
- Phone Number
- 201-451-5425
- Fax Number
- 201-451-7499
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Mr. Larry M Blake, LCSW · Ceo · 201-386-9264
- Other Names
- Parkside Medical Center (Doing Business As)
- Provider Enumeration Date
- April 9, 2007
- Last Update Date
- November 27, 2023
- Certification Date
- November 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 127 Lafayette St
Jersey City, NJ 07304-3615 - City
- Jersey City
- State
- New Jersey
- Zip
- 07304-3615
- Phone Number
- 201-451-5425
- Fax Number
- 201-451-7499
Provider Business Mailing Address Details
- Address
- P.o Box 4070 75 Harrison Ave
Jersey City, NJ 07304-0070 - City
- Jersey City
- State
- NJ
- Zip
- 07304-0070
- Phone Number
- 201-451-5425
- Fax Number
- 201-451-7499
License Information
- License Number
- 80305
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Khaleidoscope Health Care INC.?
The NPI number of Khaleidoscope Health Care INC. is 1306969787. It was assigned on April 9, 2007 and is currently active in the NPPES registry.
What is the specialty of Khaleidoscope Health Care INC.?
Khaleidoscope Health Care INC. is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 80305.
Where does Khaleidoscope Health Care INC. practice?
The practice location is 127 Lafayette St, Jersey City, NJ 07304-3615. The office can be reached at 201-451-5425 (phone) or 201-451-7499 (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 1306969787 directly on the NPPES registry website.