| Parkside Medical Center | |
|
127 Lafayette St Jersey City NJ 07304-3615 | |
| (201) 451-5425 | |
| (201) 451-7499 |
| Full Name | Parkside Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 Lafayette St, Jersey City, New Jersey |
| Authorized Official Name and Position | Larry M Blake (CEO) |
| Authorized Official Contact | 2013869264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice 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 Number | 1306969787 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 8628144722 |
|---|---|
| Medicare Enrollment ID | O20080912000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306969787 | NPI | - | NPPES |
| 7864108 | Medicaid | NJ | |
| 6103201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 80305 (New Jersey) | Primary |
| Provider Name | Rhonda A Hagler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487666202 PECOS PAC ID: 8123043072 Enrollment ID: I20051010000653 |
| Provider Name | David W Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518398361 PECOS PAC ID: 7517912017 Enrollment ID: I20140527000837 |
| Provider Name | Michael Idowu Ojelade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710279534 PECOS PAC ID: 0941567556 Enrollment ID: I20171206000778 |
Dr Mangia Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Washington Street, Jersey City, NJ 07302 Phone: 201-521-1100 | |
Monarch Medical Professionals Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Route 440 Ste 33, Jersey City, NJ 07304 Phone: 201-435-4558 Fax: 201-435-4588 | |
Alpine Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 Summit Ave, Jersey City, NJ 07306 Phone: 201-222-9370 Fax: 201-222-9392 | |
Hudson Internal Medicine Of Jersey City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-432-5222 Fax: 204-432-2503 | |
Ayra Primary Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Journal Square Plaza, Suite 502, Jersey City, NJ 07306 Phone: 201-763-7521 Fax: 201-763-7393 | |
Nyl Wellness Center Jersey City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hudson St Fl 30, Jersey City, NJ 07302 Phone: 201-942-2200 Fax: 201-685-6702 | |
Michelle Reisner, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Jewett Ave, Jersey City, NJ 07304 Phone: 201-332-3354 Fax: 201-536-9047 |