PALISADES PARK MEDICINE, P.C.
NPI 1093080871
Internal Medicine in Palisades Park, NJ

Active since March 13, 2012
340 BROAD AVE, PALISADES PARK, NJ 07650(201) 592-1112 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palisades Park Medicine, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALISADES PARK MEDICINE, P.C. (NPI 1093080871) is a healthcare organization registered as an internal medicine in Palisades Park, New Jersey and active in the NPI registry since March 2012. The organization lists Kyungkon Kenneth Choi, Owner, as its authorized official.

NPPES Registry Identity

NPI1093080871
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePALISADES PARK MEDICINE, P.C.
Location Address340 BROAD AVEPalisades Park, NJ 07650-2618
Mailing Address340 Broad AvePalisades Park, NJ 07650-2618 · (201) 592-1112
Organization SubpartNo
Authorized OfficialKyungkon Kenneth ChoiOwner · (201) 638-8156
Enumeration DateMarch 13, 2012
NPI 1093080871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 2MA05329300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
340 BROAD AVE, Palisades Park, NJ 07650

Other Identifiers 3

Medicaid7179405NJ
Medicare PINF35218NJ
Medicare UPINF35218NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
340 BROAD AVE
PALISADES PARK, NJ 07650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palisades Park Medicine, P.C.'s NPI number?

The NPI number for Palisades Park Medicine, P.C. is 1093080871. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Palisades Park Medicine, P.C. located?

Palisades Park Medicine, P.C. is located at 340 Broad Ave, Palisades Park, NJ 07650. The listed phone number is (201) 592-1112.

What is Palisades Park Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Palisades Park Medicine, P.C. was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.