Active NPI
Jeff Paley MD PC
- Internal Medicine Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA75257
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Evan Paley, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1009720 | Jeff Paley MD PC | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Jeff Paley MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- New York, NY
- NPI 1598841124
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1265604565
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.