RIVERSIDE HEALTH CARE LLC NPI 1295286375

NPI Information

NPI: 1295286375
Provider Name: RIVERSIDE HEALTH CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D0956350

Address:
115 BROAD AVE
PALISADES PARK, NJ
ZIP 07650
Phone: (347) 882-2633
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RIVERSIDE HEALTH CARE LLC is a primary care clinic center in Palisades Park, NJ. RIVERSIDE HEALTH CARE LLC NPI is 1295286375. The provider is registered as an organization entity type.

The provider's business location address is:

115 BROAD AVE
PALISADES PARK, NJ
ZIP 07650-441
Phone: (347) 882-2633
Fax: (877) 801-7479

The provider's authorized official is Hangjun Jang .
The authorized official title is President and has the following contact phone number (201) 592-5959.

The CLIA number assigned to this NPI record is 31D0956350 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2016 and was last updated on 4/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	25MA09772600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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