Active NPI
Palisades Emergency Consultants, PC
- Emergency Medicine Physician
- North Bergen, NJ
National Provider Identifier
1215963467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PALISADES EMERGENCY CONSULTANTS, PC
- Practice address
- 7600 River Road
North Bergen, NJ 07047 - Phone
- (201) 854-5009
- Fax
- (856) 616-1919
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvin Goldberg, MD
- Title
- Director
- Phone
- (201) 854-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
7600 River Road
North Bergen, NJ 07047
Mailing address
PO Box 3012
Wilmington, DE 19804-0012
Phone (856) 616-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6066208 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225670400000",
"number": "1215963467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198040012",
"telephone_number": "856-616-8100",
"fax_number": "856-616-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 RIVER ROAD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "07047",
"telephone_number": "201-854-5009",
"fax_number": "856-616-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALISADES EMERGENCY CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2008-11-03",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "ALVIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-854-5009",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6066208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.