Palisades Park Medicine, P.C.

LBN: Palisades Park Medicine, P.C.
Palisades Park Medicine, P.C. is an health care organization with primary practice located at 340 Broad Ave , Palisades Park NJ 07650-2618. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Palisades Park Medicine, P.C. can be contacted via phone (201) 592-1112, or through Choi, Kyungkon Kenneth via phone (201) 638-8156.

Contact Information

Primary practice address
340 Broad Ave Palisades Park NJ 07650-2618
Phone: (201) 592-1112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Choi, Kyungkon Kenneth Doctor of Medicine (MD)
Phone: (201) 638-8156

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2MA05329300 New Jersey

Profile Details

NPI number 1093080871
LBN Legal business name Palisades Park Medicine, P.C.
DBA Doing business as
Authorized official Choi, Kyungkon Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2012
Last updated Mar 13th, 2012 - about 13 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 1093080871 NPPES
New Jersey MEDICAID 7179405

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