Active NPIOrganization

814 Undercliff Medical PC

Healthcare Provider in Edgewater, New Jersey

NPI Number1598495442
Practice location
814 Undercliff Ave, Edgewater, NJ 07020-1521
Fax
—
Last updated
September 29, 2026

814 Undercliff Medical PC is a healthcare organization based in Edgewater, NJ. 814 Undercliff Medical PC practices in Edgewater, NJ. The NPI Number for 814 Undercliff Medical PC is 1598495442. The current practice location address for 814 Undercliff Medical PC is 814 Undercliff Ave, Edgewater, NJ 07020-1521 and can be reached out via phone at 973-954-4055.

Provider Profile Details

NPI Number
1598495442
Provider Name
814 Undercliff Medical PC
Provider Entity Type
Organization
Address
814 Undercliff Ave, Edgewater, NJ 07020-1521
Phone Number
973-954-4055
Primary Taxonomy
Healthcare Provider · 208VP0000X
Organization Subpart
No
Authorized Official
Dr. Ilana Etelzon, MD · President · 646-644-2481
Provider Enumeration Date
June 14, 2022
Last Update Date
September 29, 2026
Certification Date
September 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
814 Undercliff Ave
Edgewater, NJ 07020-1521
Zip
07020-1521
Phone Number
973-954-4055
Edgewater, NJ 07020Get directions →

Provider Business Mailing Address Details

Address
814 Undercliff Ave
Edgewater, NJ 07020-1521
City
Edgewater
State
NJ
Zip
07020-1521
Phone Number
646-644-2481

License Information

Taxonomy
· 208VP0000X · 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 814 Undercliff Medical PC?

The NPI number of 814 Undercliff Medical PC is 1598495442. It was assigned on June 14, 2022 and is currently active in the NPPES registry.

What is the specialty of 814 Undercliff Medical PC?

814 Undercliff Medical PC is registered under the primary taxonomy Healthcare Provider (code 208VP0000X).

Where does 814 Undercliff Medical PC practice?

The practice location is 814 Undercliff Ave, Edgewater, NJ 07020-1521. The office can be reached at 973-954-4055 (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 1598495442 directly on the NPPES registry website.

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