Paul Keshishian, D.O., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MB03905100 Issued in NJ

Legal business name

PAUL KESHISHIAN, D.O., P.C.

Practice address

186 Rochelle Ave
Suite #2a
Rochelle Park, NJ 07662-4111

Phone

(201) 368-3384

Fax

(201) 587-0300

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Keshishian, D.O.

Title

President

Phone

(201) 368-3384

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303603200000",
    "number": "1427347459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ROCHELLE AVE",
            "address_2": "SUITE #2A",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624111",
            "telephone_number": "201-368-3384",
            "fax_number": "201-587-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ROCHELLE AVE",
            "address_2": "SUITE #2A",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624111",
            "telephone_number": "201-368-3384",
            "fax_number": "201-587-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL KESHISHIAN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-04-24",
        "status": "A",
        "authorized_official_last_name": "KESHISHIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-368-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MB03905100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4866100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkway Healthcare, LLC (Alaris Health at Rochelle Park - Vent)
• Todd David Pascarelli, MD
• Magna Josefina Pastrano Lluberes, M.D.
• Neha Patel, M.D.
• Puja Patel, DO
• Peak Health Physical Therapy
• Joanna Rose Pedalino, RBT
• Linette Perez
• Heather Pilling
• Janet I Pincu, MSW, LCSW, CALA

• Primary Care Clinic/Center in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.