| Riverside Health Care Llc | |
|
115 Broad Ave Palisades Park NJ 07650-1441 | |
| (201) 592-5959 | |
| (201) 592-5955 |
| Full Name | Riverside Health Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 115 Broad Ave, Palisades Park, New Jersey |
| Authorized Official Name and Position | Hangjun Jang (PRESIDENT) |
| Authorized Official Contact | 2015925959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Health Care Llc 115 Broad Ave Palisades Park NJ 07650-1441 Ph: (201) 592-5959 | Riverside Health Care Llc 115 Broad Ave Palisades Park NJ 07650-1441 Ph: (201) 592-5959 |
| NPI Number | 1295286375 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295286375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA09772600 (New Jersey) | Primary |
Palisades Park Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Broad Ave, Palisades Park, NJ 07650 Phone: 201-592-1112 | |
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 | |
Bergen Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare 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 |