Cliffside Medical LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLIFFSIDE MEDICAL LLC

Practice address

663 Palisade Ave
Cliffside Park, NJ 07010-3012

Phone

(201) 945-6500

Fax

(201) 945-1157

NPI assigned

Oct 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin S Chouake, M.D.NPI 1891804654

Title

President

Phone

(201) 945-6500

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Chouake, MD

  • Internal Medicine Physician
  • Cliffside Park, NJ
  • NPI 1891804654
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Chouake, M.D.

  • Dermatology Physician
  • Cliffside Park, NJ
  • NPI 1891135943
  Medicare reassignment Care Compare group NPD
• Gerard T Eichman, M.D.

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1699774950
  Medicare reassignment Care Compare group NPD
• Susan Fishbein, MD

  • Gastroenterology Physician
  • Cliffside Park, NJ
  • NPI 1205945086
  Medicare reassignment Care Compare group NPD
• Gertrud Caroline Malmberg, M.D.

  • General Practice Physician
  • Cliffside Park, NJ
  • NPI 1902020373
  Medicare reassignment Care Compare group NPD
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737

  NJ

  Medicare reassignment Care Compare group NPD
• Jennifer Schiebel, MSN, CMSRN

  • Family Nurse Practitioner
  • Cliffside Park, NJ
  • NPI 1689130254
  Medicare reassignment NPD
• Artin Aharonian, M.D.

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1992740187

  NJ

  Medicare reassignment NPD
• Steven D Gillon, D.O.

  • Gastroenterology Physician
  • Englewood, NJ
  • NPI 1285668376
  Medicare reassignment
• Elidomi E. Santana-Nunez, PA-C

  • Physician Assistant
  • Coral Gables, FL
  • NPI 1699441550

  NJ

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1104908813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 PALISADE AVE STE 101",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103098",
            "telephone_number": "201-945-6500",
            "fax_number": "201-945-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103012",
            "telephone_number": "201-945-6500",
            "fax_number": "201-945-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFSIDE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "CHOUAKE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constantine G Christolias, DDS DOCTOR OF DENTIS
• Thomas Chun, MD
• Steven S Chung, L.AC
• Barbara Cirignano, MD
• Cliffside Eye Center L L C
• Cliffside Park Chiropractic
• Cliffside Park Imaging and Diagnostic Center, LLC
• Cliffside Park Pharmacy LLC
• Cliffside Park Public Schools
• Cliffside Physical Therapy & Chiropractic Center PC

• Dermatology Physician in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.