Pascack Community Services, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PASCACK COMMUNITY SERVICES, INC.

Practice address

250 Old Hook Rd
Westwood, NJ 07675-3123

Phone

(201) 358-3436

Fax

(201) 358-1140

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Miss Carol Gadino

Title

Director

Phone

(201) 358-3436

Specialties & licenses 1

Addresses

Other names 1

• Preventive Medicine Institute Doing business as

Tax ID family

Lillian Booth Dialysis Center2 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.

• Pascack Community Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Westwood, NJ
  • NPI 1669465753
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891917274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WESTWOOD AVE",
            "address_2": "2ND FLOOR",
            "city": "RIVERVALE",
            "state": "NJ",
            "postal_code": "076756238",
            "telephone_number": "201-358-6774",
            "fax_number": "201-358-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD HOOK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-358-3436",
            "fax_number": "201-358-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCACK COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADINO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-358-3436",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheong Park, LSW
• Esther Park
• Kyungjin Park, L.AC
• Mark Park, DMD, MD
• Pascack Community Services
• Pascack Emergency Services Inc
• Pascack Hospital Physicians Services, P.a.
• Pascack Pediatric Associates LLC
• Pascack Physician Services
• Pascack Valley Hospital

• Registered Dietitian in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.