RIVERSQUARE CLINIC LLC NPI 1518200773

NPI Information

  • NPI: 1518200773
  • Provider Name: RIVERSQUARE CLINIC, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 140 SYLVAN AVE
    SUITE 107
    ENGLEWOOD CLIFFS, NJ
    ZIP 07632
  • Phone: (201) 944-0985

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NPI Details

RIVERSQUARE CLINIC, LLC is a clinic center in Englewood Cliffs, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVERSQUARE CLINIC, LLC NPI is 1518200773. The provider is registered as an organization entity type.

The provider's business location address is:

140 SYLVAN AVE
SUITE 107
ENGLEWOOD CLIFFS, NJ
ZIP 07632-514
Phone: (201) 944-0985
Fax: (201) 944-0912

The provider's authorized official is Juseok Park .
The authorized official title is President and has the following contact phone number (201) 944-0985.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 4/5/2013.

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
1261Q00000XClinic/Center25MZ00088900NEW JERSEYYes

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: 11/21/2025

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