Cliffside Medical Llc

LBN: Cliffside Medical Llc
Cliffside Medical Llc is an health care organization with primary practice located at 663 Palisade Ave , Cliffside Park NJ 07010-3012. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Cliffside Medical Llc can be contacted via phone (201) 945-6500, or through Chouake, Benjamin S via phone (201) 945-6500.

Contact Information

Primary practice address
663 Palisade Ave Cliffside Park NJ 07010-3012
Phone: (201) 945-6500
Fax: (201) 945-1157
Website:
Map and Directions
Authorized official contact:
Name: Chouake, Benjamin S Doctor of Medicine (MD)
Phone: (201) 945-6500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1104908813
LBN Legal business name Cliffside Medical Llc
DBA Doing business as
Authorized official Chouake, Benjamin S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Oct 11th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104908813 NPPES
New Jersey MEDICAID 0820903

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