Organization Active NPI

Jeff Paley MD PC

  • Internal Medicine Physician
  • Englewood, NJ
National Provider Identifier
1396806907
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA75257 Issued in NJ
Legal business name
JEFF PALEY MD PC
Practice address
177 North Dean Street Suite 203
Englewood, NJ 07631-2522
Phone
(201) 503-0833
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mr. Jeffrey Evan Paley, MDNPI 1265604565
Title
President
Phone
(201) 503-0833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA75257 NJ Primary

Addresses

Primary practice location

177 North Dean Street Suite 203
Englewood, NJ 07631-2522

Mailing address

177 North Dean Street Suite 203
Englewood, NJ 07631-2522
Phone (201) 503-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041019000094 NJ Part B Supplier - Clinic/Group Practice 4284628082 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1009720Jeff Paley MD PC177 North Dean Street #203, Englewood, NJ 07631Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jeff Paley MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

177 N Dean St
Ste 203
Englewood, NJ 07631
Phone (201) 503-0833

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1396806907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 NORTH DEAN STREET SUITE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312522",
            "telephone_number": "201-503-0833",
            "fax_number": "201-503-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 NORTH DEAN STREET SUITE 203",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312522",
            "telephone_number": "201-503-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF PALEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-503-0833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA75257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.