| Palisades Park Medicine, P.c. | |
|
340 Broad Ave Palisades Park NJ 07650-2618 | |
| (201) 592-1112 | |
| Not Available |
| Full Name | Palisades Park Medicine, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 340 Broad Ave, Palisades Park, New Jersey |
| Authorized Official Name and Position | Kyungkon Kenneth Choi (OWNER) |
| Authorized Official Contact | 2016388156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palisades Park Medicine, P.c. 340 Broad Ave Palisades Park NJ 07650-2618 Ph: (201) 592-1112 | Palisades Park Medicine, P.c. 340 Broad Ave Palisades Park NJ 07650-2618 Ph: (201) 592-1112 |
| NPI Number | 1093080871 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Medicare PECOS PAC ID | 8820259096 |
|---|---|
| Medicare Enrollment ID | O20120416000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093080871 | NPI | - | NPPES |
| 7179405 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2MA05329300 (New Jersey) | Primary |
| Provider Name | Kyungkon K Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760579064 PECOS PAC ID: 9739340902 Enrollment ID: I20120416000169 |
Sung Won Lee Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Broad Ave, Palisades Park, NJ 07650 Phone: 201-941-2486 Fax: 201-941-1577 | |
Anthony M Susinno Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Broad Ave, Box 607, Palisades Park, NJ 07650 Phone: 201-945-5222 | |
Riverside Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Broad Ave, Palisades Park, NJ 07650 Phone: 201-592-5959 Fax: 201-592-5955 | |
Bergen Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Broad Ave Ste 7, Palisades Park, NJ 07650 Phone: 718-887-4858 | |
Riverside Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Broad Ave, Palisades Park, NJ 07650 Phone: 201-592-5959 Fax: 201-592-5955 | |
Dr Chung Medical Clinic P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 E Harwood Ter, Palisades Park, NJ 07650 Phone: 201-313-1500 Fax: 201-941-4157 |