Paterson Division of Health

A Medicare group practice based in Paterson, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0446280663), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0446280663The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NJ
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050817000861 NJ Part B Supplier - Ambulance Service Supplier 1174519292
O20150303000578 NJ Part B Supplier - Clinic/Group Practice 1801001300
O20140319000329 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1801001300

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page