Palisade Health Associates, P a

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

25MA05823900 Issued in NJ

Legal business name

PALISADE HEALTH ASSOCIATES, P A

Practice address

769 River Rd
New Milford, NJ 07646-3030

Phone

(201) 261-0255

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Michael Chang, MD

Title

President/ Owner

Phone

(212) 255-2333

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1265525679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VAN BUREN DR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463030",
            "telephone_number": "201-261-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE HEALTH ASSOCIATES, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "212-255-2333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA05823900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7280904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5100333",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8072916003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "EXP1K7136",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P997430",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2025817",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "48125",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.