Parkside Medical Center - Medicare Primary Care in Jersey City, NJ

Parkside Medical Center is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Jersey City, New Jersey. The current practice location for Parkside Medical Center is 127 Lafayette St, Jersey City, New Jersey. For appointments, you can reach them via phone at (201) 451-5425. The mailing address for Parkside Medical Center is P.o Box 4070 75 Harrison Ave, Jersey City, New Jersey and phone number is (201) 451-5425.

Parkside Medical Center is licensed to practice in New Jersey (license number 80305). The clinic also participates in the medicare program and its NPI number is 1306969787. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 451-5425.

Contact Information

Parkside Medical Center
127 Lafayette St
Jersey City
NJ 07304-3615
(201) 451-5425
(201) 451-7499

Map and Direction


Primary Care Clinic Profile

Full NameParkside Medical Center
SpecialityClinic/Center
Location127 Lafayette St, Jersey City, New Jersey
Authorized Official Name and PositionLarry M Blake (CEO)
Authorized Official Contact2013869264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Parkside Medical Center
P.o Box 4070 75 Harrison Ave
Jersey City
NJ 07304-0070

Ph: (201) 451-5425
Parkside Medical Center
127 Lafayette St
Jersey City
NJ 07304-3615

Ph: (201) 451-5425

NPI Details:

NPI Number1306969787
Provider Enumeration Date04/09/2007
Last Update Date11/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8628144722
Medicare Enrollment IDO20080912000377

Medical Identifiers

Medical identifiers for Parkside Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306969787NPI-NPPES
7864108MedicaidNJ
6103201MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 80305 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Parkside Medical Center acts as a billing entity for following providers:
Provider NameRhonda A Hagler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487666202
PECOS PAC ID: 8123043072
Enrollment ID: I20051010000653
Provider NameDavid W Newton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518398361
PECOS PAC ID: 7517912017
Enrollment ID: I20140527000837
Provider NameMichael Idowu Ojelade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710279534
PECOS PAC ID: 0941567556
Enrollment ID: I20171206000778

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.