Eileen M. Clifford, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03511000 Issued in NJ

Practice address

22-18 Broadway
Suite 104
Fair Lawn, NJ 07410-1552

Phone

(201) 797-4503

Fax

(201) 797-4270

NPI assigned

Oct 26, 2006

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: eileen.clifford@direct.carepointhealth.org

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1730264052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 104",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-797-4503",
            "fax_number": "201-797-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-18 BROADWAY",
            "address_2": "SUITE 104",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101552",
            "telephone_number": "201-797-4503",
            "fax_number": "201-797-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "EILEEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03511000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Chu, PSY.D.
• Jiyeon Chung, DDS, MS
• Laurie Cicio, MS, CCC-SLP, BCS-CL
• John E Cintineo, D.C.
• Renee A Clacer, M.S., L.AC.
• Stephanie Cobianchi
• Ramin Barry Cocoziello, M.D.
• Cohen Chiropractic Center PA
• Jeffrey Alan Cohen, DC
• Michael J Cohen, D.C.

• Specialist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.