Organization Active NPI

Clover Health Associates, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1720471592
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLOVER HEALTH ASSOCIATES, LLC
Practice address
3 2ND St
Harborside Plaza 10
Jersey City, NJ 07302-3099
Phone
(201) 416-3717
Fax
(732) 384-3773
NPI assigned
Mar 18, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Mark Spektor, DO
Title
Sole Owner
Phone
(201) 416-3717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3 2ND St
Harborside Plaza 10
Jersey City, NJ 07302-3099

Mailing address

3 2ND St
Harborside Plaza 10
Jersey City, NJ 07302-3099
Phone (201) 416-3717

National Provider Directory

National Provider Directory

Locations

3 2nd St
Jersey City, NJ 07311
Phone (201) 416-3717

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1720471592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 2ND ST",
            "address_2": "HARBORSIDE PLAZA 10",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023099",
            "telephone_number": "201-416-3717",
            "fax_number": "732-384-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 2ND ST",
            "address_2": "HARBORSIDE PLAZA 10",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023099",
            "telephone_number": "201-416-3717",
            "fax_number": "732-384-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "SPEKTOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "201-416-3717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.